We are seeking a detail-oriented Accounts Receivable Specialist to join a busy, fast-paced medical practice. This position plays a vital role in ensuring timely reimbursement by researching, resolving, and following up on insurance claims while maintaining accurate patient account records.
Responsibilities
- Review and resolve denied insurance claims by gathering the necessary information to correct claims or submit appeals.
- Research payer-specific guidelines and identify the root causes of claim denials to improve front-end processes.
- Stay current on billing requirements and policy changes for both commercial and government insurance payers.
- Monitor recurring registration and front-end errors and communicate trends to support ongoing staff education.
- Investigate claims with no insurance response by running reports, researching claim status, and taking appropriate follow-up actions.
- Respond promptly and professionally to questions from patients, coworkers, and leadership regarding patient accounts.
- Identify balances that are the patient's responsibility and transfer accounts to the appropriate patient billing representative.
- Review credit balances resulting from posting errors or insurance/patient overpayments and submit refund requests when appropriate.
- Identify delinquent accounts that require placement with a collection agency.
- Maintain thorough and accurate documentation of all account activity within the practice management system.
Qualifications
- High school diploma or GED required.
- Additional education in medical billing and coding is preferred.
- Minimum 3 years of experience in a healthcare revenue cycle environment, including areas such as medical billing, collections, payment posting, charge entry, or pre-certification.
- At least 1 year of experience working with surgical claims is preferred.
- Strong analytical, organizational, and problem-solving skills.
- Excellent attention to detail and ability to manage multiple priorities in a fast-paced environment.
- Strong written and verbal communication skills.
- Must successfully pass a background and credit check.
Pay: $18.00 - $19.00 per hour
Benefits:
- Dental insurance
- Health insurance
- Vision insurance
Work Location: In person
