Medical Billing A/R Specialist

Medical Billing A/R Specialist

Job Details

Description

You will be apart of a growing team of enthusiastic hard working and caring staff that will do all they can to assist you.

You will be responsible for (A/R) Department, you will be responsible for completing patient financial services (PFS) tasks such as billing and/or accounts receivable follow-up with payer and maintaining quality and productivity requirements as outlined in the position performance expectations. You will process and submit accurate and timely claims to payers, analyze and research unpaid claims, and assist in the resolution of denials, partial payments and payment variances.

Additional responsibilities of the Medical billing specialist: maintain and release all-ship-verified claims for all third-party claim (commercial or government) accounts within established time frame as assigned.

-Resolve errors and make claim edits assigned in work buckets

-Follow work list prioritization of accounts as established by department policies and procedures for resolving accounts and/or submitting claims

-Contact payers and patients when necessary

-Request relevant information from appropriate Revenue Cycle and clinical departments as required through the course of the PFS Processes

-Make necessary adjustments to patient demographic, insurance, and account balance information

-Complete A/R adjustments where permitted and appropriate: request other adjustments were permitted and appropriate

-Comply with and adhere to all regulatory compliance areas, policies and procedures (including HIPAA and PCI compliance requirements) , and “leading practices

Qualifications

Required Qualifications

-3+ years in healthcare reimbursement or medical insurance billing

-1+ years working with Microsoft office, specifically Excel, Outlook and Word

-1+ Verifiable high School diploma or GED

Preferred Qualifications

-Prior related Healthcare Revenue cycle experience, preferably within Collections and Billing

-Knowledge of Healthcare billing, collections practices, and or infusion service

-Exceptional communication skills and phone etiquette

-Familiarity with customer service expectations, computer processing, knowledge of Centricity billing software a plus, and medical and billing office terminology.

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