Medical Accounts Receivable Specialist

Job Title: Medical Accounts Receivable Specialist

Location: 139 S English Station Rd, Louisville, KY 40245

FLSA Status: Non-Exempt, Hourly

Travel: No

Work Schedule: Monday - Friday, 8:00 a.m. 5:00 p.m.

About Family Allergy & Asthma:

Founded in 1979, Family Allergy & Asthma is one of the nation’s leading allergy and asthma practice groups, serving patients across Arkansas, Florida, Illinois, Indiana, Kentucky, Missouri, Ohio, Pennsylvania, and Tennessee. With more than 100 allergists, we are dedicated to delivering high-quality, patient-centered allergy and immunology care. Our comprehensive services include:

• Allergy and asthma evaluation and treatment
• Environmental, food, and drug allergy testing
• Pulmonary function testing
• High-risk food challenges
• Sublingual immunotherapy
• Aspirin desensitization
• Food immunotherapy

Position Summary:

The Medical Accounts Receivable Specialist is responsible for demonstrating knowledge and application of job duties within scope of practice and functions under the direction of the manager(s) and/or Director(s); respectfully interacts with all levels of staff; provides assistance, as needed, during assigned duty hours; participates in department activities; promotes independence; adherence to the attendance policy; encourages socialization; advocates for the quality of life of our patients while maintaining compliance with all applicable laws, regulatory and organizational standards; supports the company’s core values.

Summary of Duties and Responsibilities:

• Understands and has experience with multiple carrier types (Medicare, Medicaid, Dual, Commercial, Managed Care and Advantage plans) in multiple states
• Research and investigate denied or no response claims to confirm reason for denial and best method of recovery
• Reviews payer policies and guidelines to support reconsiderations and appeals where needed
• Identifies trends and notifies leads and manager immediately to establish plan of action
• Submits corrected claims, reconsiderations and appeals via portal, fax or secure email using mail as last resort.
• Thoroughly documents research done and action take on each claim in IMS
• Communicates with other departments via shared spreadsheets and conducts regular follow-ups on cross communication
• Other relevant duties as assigned by department manager