Job Overview
This In-Office position is responsible for reviewing and maintaining Accounts Receivables for accuracy and performing necessary steps in the established AR collections process. Primary focus will be to expedite the billing and collections process according to State and Federal Statutes, Regulations, Contract, Medical Policy and Compliance Guidelines. This position will require a strong knowledge Insurance Verification and Benefit determination, Identifying and Interpreting Provider Remits/Explanation of Benefits, Evaluating Patient Liability, Financial Counseling for upcoming services, Researching and Identifying root cause of claim denials, rejections and delays in payment processing. This position is responsible for provider reconsiderations, appeals, escalations to Provider Relations and monthly continued Follow-up until account balance is resolved. May work with payment posting to investigate credits and resolve outstanding refunds requests. Completing contact with Insurance carriers and/or patients to resolve matters such as Coordination of Benefit or Accident Questionnaire denials.
Duties
- Maintains a strong working knowledge of payer medical policies and contractual requirements. Understands researching payer LCD/NCD policies to identify payer denial trends and completing root cause analysis to prevent further delays in payment/loss of revenue.
- Requires Stong knowledge of CPT codes, ICD-10 codes and NCCI edit software (ASC Expert, AMA CPT Assistant, McKesson clear claim tool)
- Requires Strong Attention to detail and accuracy in collection process.
- Requires ability to work independently AND as part of a team.
- Proficiency with computer systems and software, including Microsoft Office, Excel, Outlook, Provider Portals
- Knowledge of HIPAA regulations and compliance.
- Requires ability to multi-task, prioritize workload, problem solve and manage time effectively.
- Willingness to learn and adapt to new technologies and processes.
- Effective verbal and written communication skills are necessary in dealing with a variety of carriers, healthcare professionals, Management team and peer staff members.
Requirements
- Strong data entry skills with a high level of accuracy.
- Familiarity with financial principles and practices related to accounts receivable management.
- Excellent communication skills, both verbal and written, with a focus on professional phone etiquette.
- Ability to work independently as well as part of a team in a fast-paced environment.
- Detail-oriented mindset with strong organizational skills to manage multiple tasks effectively.
Join our team as an Accounts Receivable Clerk and contribute to our mission of maintaining accurate financial operations while providing exceptional service to our clients.
Job Type: Full-time
Pay: $21.00 - $25.00 per hour
Benefits:
- 401(k)
- AD&D insurance
- Dental insurance
- Health insurance
- Life insurance
- Paid sick time
- Paid time off
- Vision insurance
Work Location: In person
