Clerical - Insurance - All Medical Personnel

Position: Insurance Accounts Receivable Specialist

Job Description:

Under the general direction and supervision of the Director of Business Office, the Accounts Receivable Specialist performs all activities necessary (appeals, corrections, reconsiderations, adjustments) to resolve AR on assigned accounts and documents actions accordingly in system.

Contacts insurance company representatives and patients by telephone, written correspondence or electronically to check status of claims, obtain/provide requested information for processing of assigned accounts
Reviews and acts on rejected claims, lockbox correspondence, and ERA denials for assigned accounts.
Perform collection activities for assigned accounts when claim is denied/non-paid;activities include appeals, reconsiderations, claim corrections, insurance corrections, and submitting adjustments for approval.
Ensure appropriate collection practices are followed and notes are entered in practice management system with a high degree of accuracy and detail.
Maintains login information/Administrator functions for insurance payor websites as needed.
Review and respond to resolve questions from internal coworkers, patient s, insurance companies, or others as appropriate and act as needed.
Perform special projects and miscellaneous duties as needed and requested. Qualifications:
Bachelor's degree in accounting or related financial discipline required.
An advanced degree in a financial discipline is preferred.
2+ years in healthcare AR
Verbal and written communication skills, attention to detail, and critical thinking.
Basic ability to work independently and manage one's time.
Basic ability to analyze business trends and project future revenues and expenses.
Basic knowledge of economic and accounting principles, the financial markets, and reporting of financial data.
Basic knowledge of federal, state, and company policies, procedures and regulations as related to accounting.
Previous experience with computer applications, such as Microsoft Word, Excel and PowerPoint, and any other related financial software.
Please reference job number: 188869