Insurance A/R Specialist Position Available In Spalding, Georgia

Insurance A/R Specialist Family Health Clinic 230 W College St, Griffin, GA 30224

Insurance A/R Job Posting Description:

We are seeking an Insurance Accounts Receivable Specialist who will review and satisfy billing edits, charge information, private or government insurance benefits, and other related information from multiple billing and documentation servers while resolving account balance. Proactively identify opportunities to improve business results and/or to alert business units of trends, anomalies or health plan rules and decisions, etc. that need attention. Escalate unresolved issues appropriately, quickly and recommend solutions to minimize future problems. Must be able to meet primary productivity and performance standards. Make appropriate decisions on account activity consistent with approved authority levels. In this position you will have the following responsibilities: Regularly meet with Billing Manager to discuss and resolve reimbursement issues or billing obstacles Make necessary arrangements for medical records requests, completion of additional information requests, etc. as requested by insurance companies Daily submissions of commercial insurance billing and invoices with a goal of zero errors Verify completeness and accuracy of all claims prior to submission Timely follow up on insurance claim denials, exceptions or exclusions Meet deadlines Reading and interpreting insurance explanation of benefits Utilize monthly aging accounts receivable reports to follow up on unpaid claims Make necessary arrangements for medical records requests, completion of additional information requests, etc. as requested by insurance companies Perform additional duties as requested by Supervisory or Management team Required skills for this position include: Stellar Customer Service Skills Superb verbal and written communication skills Exceptional interpersonal skills Keen math aptitude Strong attention to detail and exceptional drive toward meeting deadlines Excellent organizational skills Effective problem-solving skills Ability to work independently Ability to multi-task and work courteously and respectfully with fellow employees, clients and patients Computer experience is essential, including, but not limited to: practice management software, Microsoft Word & Excel applications. eClinicalWorks experience is helpful but not required Experience in CPT and ICD-10 coding; familiarity with medical terminology Ability to manage relationships with various patients and Insurance payers Experience in filing claim appeals with insurance companies to ensure maximum entitled reimbursement Flexibility in prioritizing tasks Ability to produce high quality work under strict deadlines Responsible use of confidential information Perform to company standards of compliance with policies and procedures

Qualifications:

Basic understanding of insurance terminology (out-of-network benefits vs. in-network benefits, as well as coinsurance, co-pays and deductibles), in addition to general billing practices Knowledge and experience with EMR and billing software programs required Knowledge and experience with eClinicalWorks software a plus Exemplary skill with Microsoft Office Suite, Adobe, and willingness to learn and master relevant clinical and billing software

Job Type:

Full-time Pay:

From $16.00 per hour

Benefits:

401(k) Dental insurance Health insurance Life insurance Paid time off Vision insurance

Schedule:

8 hour shift Monday to

Friday Work Location:

In person