*This is not a fully remote position - you must be able to commute and report to our Mount Laurel office. Semi-remote work may be available after the successful completion of a 90 day introductory period.
Acentus is excited to announce an opening for the position of Patient Self-Pay Accounts Receivable (AR) Specialist on our team! In this role, you will play a crucial part in ensuring our professional medical billing processes run smoothly, making a significant impact on our ability to help provide exceptional care to patients. We are looking for a friendly and organized individual who is passionate about medical billing and eager to contribute to a supportive environment.
In this position, you will be responsible for a variety of revenue related billing activities requiring data research and analysis, time management, self-motivation, and teamwork. Proactive and clear written and verbal communication skills are essential as communicating with internal and external parties is a large part of this role. Self-Pay Specialists act as a billing system super-user, perform simple to complex billing functions, and demonstrate an understanding of all business lines as they relate to the role’s responsibilities. You will be responsible for managing the daily operations of patient self-pay billing, including daily resolution of Epic self-pay workqueues, working with our self-pay vendor partner, and addressing routine patient complaints. As a Self-Pay Specialist, you will also be expected to monitor your team’s payor’s financial performance, verify patient insurance, manage system edits, identify and report trends, and propose ways to reduce and prevent denials.
Responsibilities and Duties
A qualified and dedicated Self Pay Specialist will:
- Achieve high patient satisfaction by handling complaints in a timely and professional manner
- Handle patient phone calls as needed to address billing related questions and concerns
- Monitor self-pay volumes and track progress by reducing patient AR
- Review high dollar patient balances to ensure correct processing before transferring to self-pay vendor
- Meet productivity standards and minimum requirement of >60 accounts per day
- Achieve high client satisfaction by building relationships with management and maintaining excellent teamwork
- Actively participates in team meetings by bringing examples for discussion and engaging with colleagues on troubleshooting efforts
- Partner with front-end practices to identify and eliminate self-pay issue root causes
- Responsible for Epic workqueues such as statement edit Intervention, self-pay discount processing, self-pay with open insurance, self-pay with open credits, and patient complaints
- Report denial trends to management
- Provide timely, accurate, and professional responses to internal, patient, and third party inquiries
- Research and resolve simple to complex issues and escalate issues to management
- Research no response claims and report root cause to management
- Work with billing managers to resolve and prevent coding denials
- Maintain and submit a detailed issues log to his/her manager to identify practice and/or payer trends
- Report needed system updates to manager
- Research payer policies and insurance eligibility changes and communicate changes to key personnel
- Work special payor projects as assigned
Qualifications and Skills
Successful candidates will possess the following qualifications and skills:
- Bachelor’s degree preferred, HS diploma/GED required
- Minimum of 2 years’ of experience in professional medical billing or similar role
- Ability to troubleshoot and problem solve in a healthcare setting
- Knowledge of CPT and ICD-10 coding
- Proficient understanding of HIPAA compliance practices
- Prior experience utilizing billing systems and electronic medical records (EPIC preferred)
- Proficient knowledge and a working understanding of Microsoft Excel and Word
- Knowledge of and experience using payer tools (e.g. Navinet, etc.)
- Excellent research abilities, attention to detail, and communication skills
- Outstanding problem-solving and organizational abilities
- Self-motivation, including multitasking and time management
- Positive attitude and team player
Company Overview
Founded in 2017 and focused on quality, Acentus Practice Management, LLC. (Acentus) is a growing full-service Revenue Cycle Management (RCM) company. Acentus provides customized solutions and real results for local Physician Groups and Ambulatory Surgical Centers. Following the Acentus values of professionalism, compliance, integrity, and respect allows our organization to reduce claim errors, ensure timely claim payments, and increase claim reimbursement.
Acentus offers a fast-paced and dynamic work environment that focuses on teamwork, quality, efficiency, and customer service. At Acentus, we value diversity and respect and reward employees for outstanding performance through employee of the month recognition and bi-annual bonuses. There is always opportunity for growth and our friendly and supportive leadership will help you thrive in your career. In addition, we offer a variety of comprehensive benefits, ongoing training, and flexible work schedules. Visit Acentus.org to learn more.
Job Type: Full-time
Pay: $20.00 - $22.00 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Flexible schedule
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Education:
- High school or equivalent (Required)
Experience:
- Customer service: 2 years (Preferred)
- Professional Medical Billing: 2 years (Preferred)
- Insurance verification: 2 years (Preferred)
Ability to Commute:
- Mount Laurel, NJ 08054 (Required)
Work Location: Hybrid remote in Mount Laurel, NJ 08054
