Accounts Receivable Specialist – Healthcare
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Job Description
Accounts Receivable Specialist ensuring services are paid by payors in healthcare. Process payments, handle claims, and provide excellent customer service.
Responsibilities:
- Process daily tasks assigned from the billing software system.
- Enter and process data related to patient care and reimbursement.
- Check to ensure all patient documents are on file and completed correctly.
- Connect with insurance payors by telephone or online regarding non-payment or short payment on outstanding claims.
- Respond to insurance payor correspondence.
- Contact patients on outstanding balances, assist with payment plans and financial hardships.
- Review and resolve denied claims and resubmit corrected claims to payors for reprocessing.
- Work AR aging reports for payors and patients.
- Review claims forms to primary, secondary, and tertiary insurance payors as needed.
- Submit write-offs, adjustments, and refunds.
- Ensure month-end billing deadlines are met.
- Work accounts promptly to ensure claims are processed appropriately.
- Provide exceptional customer service to all internal and external customers.
- Review HCPC, modifiers, and ICD-10 codes for accuracy while keeping up with compliance and coverage criteria to update employees as needed.
- Meets work standards by following productivity, quality, and customer service standards established by the company.
- Complies with Corporate Compliance and HIPAA responsibilities.
- Perform other duties and special projects as assigned.
Requirements:
- Experience with HCPC, ICD-10 medical terminology, accounts receivable, insurance collections and payor requirements, or billing.
- Ability to work quickly and accurately and pay attention to detail.
- Proficient with Microsoft Office Software- Excel, Word and Outlook and databases.
- Strong data entry skills.
- Ability to work in a fast-paced, frequently changing environment.
- Communicate clearly, both verbally and in writing, with clinical and non-clinical personnel, patients, and care givers in a professional and respectful manner.
- Demonstrate organizational, analytical, and time management skills.
- Dependable, reliable, and punctual.
- High school diploma or equivalent qualification required.
- Minimum 1 year of experience in medical billing and collections.
- Minimum 1 year of experience in accounts receivable, claims, and insurance payor requirements.
- Familiarity of Medicare and Medicaid preferred.
- Knowledge of Orthotics, Prosthetics, and DME billing preferred.
Benefits:
- Medical
- Vision
- Dental
- Health savings accounts with employer contribution
- Flexible spending account options
- Company-paid life insurance policy
- Paid time off
- Company holidays
- Floating holidays
- 100% company-paid short & long-term disability
- 401k match up to 3.5%
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