Accounts Receivable Specialist
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Job Description
Remote accounts receivable specialist collecting insurance and patient payments for US Heart and Vascular. Managing medical claims, billing, denials, payment posting, and patient account records.
Responsibilities:
- Achieve maximum revenue collections from insurers and patients through timely entry, filing, and follow-up
- Maintain accurate transactions and correspondence on patient accounts
- Provide insurance claims education to patients
- Post payments and adjustments; reconcile batches and accounts
- File primary and secondary claims timely
- Manage outstanding insurance accounts, denials, rejected claims, and payment appeals within 30 days
- Follow up on unresolved claims at least every 30 days
- Document tasks performed on patient accounts in the EMR
- Seek patient collections on overdue accounts
- Process charges with correct diagnoses and modifiers within 48 hours of availability
- Prepare clean, timely insurance claims
- Greet patients in person or by telephone, determine their needs, and respond accordingly
- Obtain or review demographic and insurance data, including insurance cards
- Verify medical insurance coverage and document benefits information
- Utilize EMR and PM systems accurately
- Perform other reasonable services assigned by the supervisor
Requirements:
- High school diploma or equivalent
- Minimum of one year’s experience in a medical office or other healthcare setting
- Basic understanding of medical terms and abbreviations
- Thorough working knowledge of insurance and medical billing
- Knowledge of computer systems
- Understanding of health insurance mechanics and PPO networks
- Knowledge of medical billing forms, reports, and processing methods
- Knowledge of patient confidentiality and HIPAA regulations
- Excellent attention to detail
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