Accounts Receivable Specialist
Posted Updated 3
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Description
Job Purpose:
Maintenance of private Insurance accounts for patient billing and to assist the AR Manager/Supervisor in managing the Accounts Receivables for the physicians/clinics/clients that are assigned to them, by reducing the AR, resolving claim denials, and following payer specific processes surrounding the AR while managing their assigned task EPM inventory.
Responsibilities:
• Work/Call on claims & denials to fully resolve claim
• Prioritize work load balance
• Communicate with clients via email or task message
• Provide feedback to team lead regarding denial trends
• Maintain strict confidentiality within medical practice and HIPAA compliance
• Maintain productivity standards and goals set by the department and/or manager.
• Maintain standard quality measures and goals.
• Attend Meetings as required and/or participate in various committees as required
• Other duties as assigned by, Team Lead, Manager, Director, VP RCM.
Required Skills:
• High school diploma/GED
• Preferably two years’ prior experience in physician professional billing (Managed Care, Commercial and or CMS Part B claims adjudication, including but not limited to:
- Explanation of Benefit forms (EOB)
- Credit balances (discounts and refunds)
- Insurance carrier billing requirements
- Collections
- Familiarity of payer provider enrollment
- CPT & ICD10 Coding
Core Competencies:
Accountability and Self-Management
• Must be detail-oriented and organized
• A self – starter capable of tracking to deadlines and meeting goals with little supervision required
• A high level of analytical and problem solving skills is expected
Team Player
• Ability to work autonomously and as a team player
Communication
• Excellent communication, customer service, and organizational skills
• Strong verbal and written communications
Innovation and Problem Solving
• Attention to detail and moderate analytical and problem solving skills is expected
Computer Skills
• Must possess general office skills and computer knowledge
• Strong working knowledge of the Aprima PM practice management system and/or GE Centricity Business system and coordinating modules, is preferred
• MS Excel Spreadsheet software, MS Word Processing software
Physical Demands:
• May require sitting for long periods of time; also, stooping, bending, and reaching for files and supplies.
• Requires manual dexterity sufficient to operate a computer keyboard, answer a telephone, and run a copier and other office equipment as necessary.
• Employee must participate to help maintain the desirable work environment created by the management and company officials.
Maintenance of private Insurance accounts for patient billing and to assist the AR Manager/Supervisor in managing the Accounts Receivables for the physicians/clinics/clients that are assigned to them, by reducing the AR, resolving claim denials, and following payer specific processes surrounding the AR while managing their assigned task EPM inventory.
Responsibilities:
• Work/Call on claims & denials to fully resolve claim
• Prioritize work load balance
• Communicate with clients via email or task message
• Provide feedback to team lead regarding denial trends
• Maintain strict confidentiality within medical practice and HIPAA compliance
• Maintain productivity standards and goals set by the department and/or manager.
• Maintain standard quality measures and goals.
• Attend Meetings as required and/or participate in various committees as required
• Other duties as assigned by, Team Lead, Manager, Director, VP RCM.
Required Skills:
• High school diploma/GED
• Preferably two years’ prior experience in physician professional billing (Managed Care, Commercial and or CMS Part B claims adjudication, including but not limited to:
- Explanation of Benefit forms (EOB)
- Credit balances (discounts and refunds)
- Insurance carrier billing requirements
- Collections
- Familiarity of payer provider enrollment
- CPT & ICD10 Coding
Core Competencies:
Accountability and Self-Management
• Must be detail-oriented and organized
• A self – starter capable of tracking to deadlines and meeting goals with little supervision required
• A high level of analytical and problem solving skills is expected
Team Player
• Ability to work autonomously and as a team player
Communication
• Excellent communication, customer service, and organizational skills
• Strong verbal and written communications
Innovation and Problem Solving
• Attention to detail and moderate analytical and problem solving skills is expected
Computer Skills
• Must possess general office skills and computer knowledge
• Strong working knowledge of the Aprima PM practice management system and/or GE Centricity Business system and coordinating modules, is preferred
• MS Excel Spreadsheet software, MS Word Processing software
Physical Demands:
• May require sitting for long periods of time; also, stooping, bending, and reaching for files and supplies.
• Requires manual dexterity sufficient to operate a computer keyboard, answer a telephone, and run a copier and other office equipment as necessary.
• Employee must participate to help maintain the desirable work environment created by the management and company officials.