Accounts Receivable Spec

Prelude Fertility - Franklin, TN2.3

Full-timeEstimated: $28,000 - $37,000 a year
Prelude is a comprehensive fertility company focused on providing people with the best options for meeting their family-building goals. Using a proactive approach to fertility care, Prelude aims to improve people's chances of having healthy babies when they are ready. By coupling earlier decision making with the latest reproductive science and technology, Prelude can increase the probability of having a healthy baby and decrease the chances of requiring infertility therapy later in life.

Would you like to join a GROWING Revenue Cycle team! The team is filled with talented and experienced individuals who are skilled and compassionate when talking with patients as well as working with insurance companies! Our team is often meeting and exceeding monthly team goals. Our Revenue Cycle team also makes time for team building activities such as bingo, wreath competitions, birthday celebrations and potlucks!

The company offers great benefits including:
Health Savings Account
Paid Time Off
STD, LTD and Life Insurance and much more!
We are looking for an Accounts Receivable Specialist who is experienced in various aspects of the revenue cycle process for a medical/healthcare company. Our AR Specialists are responsible for billing and follow-up of accounts according to documented procedures. This includes but is not limited to following up on claim status, billing and re-billing of claims, credit balance resolution, denial management, following up on aging accounts and maintaining accurate information. Our AR Specialists interact with our patients over the phone handling self-pay collections.

There is an opportunity to earn a monthly bonus!

Currently, we are looking for those who can work 7:30am- 4:00pm Monday through Friday.

Duties and Responsibilities:
Monitors claim status and records in system daily for commercial insurance billing.
Outgoing and Incoming calls to patients and with insurance companies collecting balances
Managing complex claims with processes that could vary in different locations
Ensure timely collection of outstanding A/R and perform a variety of clerical and accounting functions to resolve billing issues of submitted claims
Review EOBs, assist in verifying patient coverage if needed, and assist with patient billing inquiries through a billing queue
Conducting outbound calls to insurance companies and/or patients to reconcile account issues and outstanding account balances
Facilitates and initiates appeals to insurance companies for higher payments and other appeals as needed.
Handles correspondence from payers to ensure all information required for claim processing is provided.
Review and resolve credit balances or unassigned money remaining on an account.
Provides customer service and follow through on account questions.
Assists with Special Projects as needed.
Other duties as assigned.

Experience and Education:
1-3 yrs of experience with Receivables /collections in a healthcare setting
Strong telephonic communication skills

Team Player: Works well as a member of a group