Medical A/R Specialist (Insurance) Position Available In Somerset, New Jersey

Medical A/R Specialist (Insurance) ID Care, LLC Hillsborough, NJ 08844 • Hybrid work D Care, LLC is seeking an experienced full time Insurance Accounts Receivable Specialist (Medical) for it’s billing department. If interested in the position, read the job description below and apply.

General Summary:

This is a nonexempt position which is responsible for primarily working Accounts Receivable reports for assigned insurance payers including all follow-up that may be required. This includes follow-up with insurance companies by phone or by websites online regarding claims that have been generated. The AR Specialist will check the status on claims and file appeals, as necessary. This position would require about 80% of phone work and following up on the claims on the payer’s website. Also, may be responsible for creation of claims and scrubbing claims using practice

Immediate Supervisor Title:

Associates Director of Revenue Cycle Management Job Supervisory Responsibilities:

None Essential Job Responsibilities:

Work minimal 60- 75 accounts daily. Responsible daily for the correction of primary/secondary insurance and clearinghouse rejected claims and the resubmission of rejected and denied claims. Document appropriate follow up notes on claims and patient accounts and upkeep of any daily spreadsheets required by supervisor. Responsible for accurate and timely follow up on accounts receivables for payers assigned. Submit appeals to insurance companies as needed. Answer phones, retrieve voicemails and answer patient questions that may come in regarding statements, patient balances, collection status, etc. May be required to assist as needed with patient balances, statements, and collection action. Establish payment plans for patients using the guidelines required. Identify and resolve patient billing complaints. Report payments made by patient directly to the office to the appropriate staff member. Update patient demographics in the practice management software, as necessary. Other duties as assigned.

Equipment Operated:

Standard office equipment including computers, fax machines, copiers, printers, telephone, etc.

Work Environment:

Position is in a well-lighted office environment with windows allowing the temperature to fluctuate during each season.

Requirements Education and Experience:

High School Diploma or equivalent At least 3 years of insurance accounts receivable experience in a medical office setting. Coding certification optional

Performance Requirements:

This position requires a strong working knowledge of managed care plans, insurance carriers, referrals, and authorization procedures.

Knowledge:

Knowledge of CPT, ICD-10, HCPCS and modifiers. Knowledge of full cycle accounts receivable. Working knowledge of Microsoft Office including Word and Excel.

Skills:

Excellent written and verbal communication skills. Must have strong organization and time management skills. Detail oriented. Possess excellent follow up and follow through skills. General math skills and statistical analysis when appropriate.

Abilities:

Ability to initiate and complete tasks related to job duties without direct request of director. Ability to analyze information and problem solve. Ability to work under pressure and meet tight deadlines. Ability to deal courteously with patients and insurance companies.

Mental/Physical Requirements:

Requires sitting and standing associated with a normal office environment. Involves looking at a computer monitor for up to 8 hours per day. Occasional lifting of office supplies under 15 pounds.

Other Requirements:

Influenza:

All employees of ID Care shall be provided the influence vaccine. Employees will be required to obtain the influenza vaccine by December 1 of each calendar year. ID Care is an Equal Opportunity Employer who does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. All employment is decided on the basis of qualifications, merit, and business need.

Job Type:

Full-time Pay:

$19.00 – $25.00 per hour

Benefits:

401(k) Dental insurance Flexible spending account Health insurance Health savings account Paid time off Referral program Tuition reimbursement Vision insurance

Schedule:

8 hour shift Monday to

Friday Education:

High school or equivalent (Required)

Experience:

A/R Specialist:

3 years (Required) Ability to

Commute:

Hillsborough, NJ 08844 (Required)

Work Location:

Hybrid remote in Hillsborough, NJ 08844