AR Billing Specialist
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Job Description
AR Billing Specialist resolving medical insurance claims, denials, refunds, and guarantor balances. Supporting revenue cycle operations for U.S. Urology Partners, a urology services provider.
Responsibilities:
- Ensure final resolution of insurance- and guarantor-owed balances
- Follow up and resubmit claims not on file
- File appeals for claims denied in error
- Collect guarantor balances according to written policy
- Communicate electronically and by telephone with payers
- Process refunds
- Maintain day-to-day operations of team lead direct reports
- Troubleshoot billing problems for the Revenue Cycle department
- Communicate incorrect filing issues resulting in denied claims to office staff and the Revenue Cycle Director
- Develop relationships with payer representatives to resolve claims payment, denials, policies, and problems
- Monitor aged insurance and guarantor account balances and ensure compliance with MGMA-aligned corporate benchmarks
- Ensure daily production and quality standards meet written policies and procedures
- Report daily progress and problems to the Revenue Cycle Director
- Ensure documentation supports write-offs, collection-agency transfers, and account adjustments
- Conduct random audits of all positions for policy and procedure compliance
- Maintain working relationships with Supervisors/Team Leaders for communication, cross-training, and problem resolution
- Adhere to the Corporate Confidentiality Policy
- Perform other duties as assigned
Requirements:
- Knowledge of Medical Billing and working insurances
- High School Graduate or equivalent
- Ability to solve practical problems and deal with a variety of concrete variables
- Ability to interpret written, oral, diagram, or schedule instructions
- Thorough knowledge of computer information systems
- Ability to perform essential duties satisfactorily
- Ability to stand, walk, sit, use hands, reach, stoop, kneel, crouch, crawl, talk, and hear
- Frequently lift and/or move up to 10 pounds; occasionally lift and/or move up to 25 pounds
Benefits:
- Comprehensive medical plans
- Dental plans
- Vision plans
- HSA / FSA
- 401(k) matching
- Employee Assistance Program (EAP)
- Equal Opportunity Employer
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