Medical Accounts Receivable Specialist

Overview Medical Accounts Receivable Specialist will be responsible, but not limited to, maintaining accounts receivables, insurance claims and patient accounts through research and follow-up for successful adjudication or resubmission.

Responsibilities:

• Effectively resolve insurance carrier denials, appealing claims, and responding to insurance carrier correspondence and/or inquiries for both office and ambulatory surgery center. To include timely follow up on Medicare, Medicaid, Workers Comp or Commercial insurance companies to collect on outstanding claims.
• Work through athenaNet to identify, research, and resolve via the appropriate dashboard, report, and/or relative Worklist.
• Investigate and report root cause in trends that negatively impact revenue goals or intended workflows and participate in the resolution process.
• Maintain communication with CFO and promptly follow-up with other departments as needed when seeking additional information on a denied claim.

Requirements:

• Minimum two years medical practice and physician billing experience required;
• Knowledge of ICD-10 medical coding, reimbursement guidelines and medical terminology required;
• Ability to prioritize conflicting needs; handle matters expeditiously, proactively, and follow-through on projects to successful completion, often with deadline pressures;
• Ability to effectively communicate with various levels of staff and customers;
• Ability to work independently in a fast-paced environment; and
• Strong facilitation and influencing skills; confident and articulate

Note:

This job description is not intended to be all-inclusive. The employee may perform other related duties as negotiated to meet the ongoing needs of the organization.

Job Type:

Full-time Pay:

$14.00

• $18.

00 per hour

Benefits:

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

Schedule:

8 hour shift Monday to

Friday Work Location:

In person