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Coastal Tides Surgical Center

Accounts Receivable Specialist

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Job Description

The Accounts Receivable Specialist has three main tasks. The first is the daily posting of payments to our patient accounts. Second is to be the main collector for insurance balances. Lastly this position will be responsible for various AR tasks to help us turn our AR quickly. Additionally, this position will cross train in a variety of revenue cycle areas to make the business office more robust.
These tasks are summarized below:
Verify patient insurance is active and estimate copays. Call patients regarding their estimated Copay prior to DOS and assist with questions on estimates and payment options. Post payments received by the ASC on a daily basis and create payment log. Send out statements on a weekly basis and help answer patient questions on balances owed. Enter coding/charges into the patient accounting system and bill payer according to our P&P. Work outstanding claims aging report to ensure prompt payment. Review claims denials and submit corrected claims or appeals. Assist with implant tracking for billing purposes. Prepare bad debt for write off and work with collection agency. Work effectively with Business Office team to communicate deficiencies, if any, that impact timely payments and collections. Cover patient admissions and phones as needed. Other administrative tasks as necessary.
Education Required:
High School Diploma or equivalent
Experience Required:
2+ years in Revenue Cycle Management to include, billing, claims follow up, and denials. Knowledge of Medicare and Third Party Insurance Guidelines. Strong organizational skills, work ethic and high attention to detail. Excellent customer service skills. 7:30 AM-4:00 PM