Summary Description:

Accounts Receivable Specialist is responsible for providing timely and efficient follow-up with all payer types for all unpaid claims and presenting data to appropriate parties.

Daily Responsibilities:

·        Researches and resolves unpaid, denied, or pending claims and invoices.

·        Responsible for the appeal process including filing appeals and monitoring appeals through completion.

·        Responsible for accurate information and data input on all patients, insurance, notes, and claims.

·        Generates invoices for client billing.

·        Negotiates with the responsible party on unpaid accounts.

·        Assists in identifying potential billing issues.

·        Participates in staff meetings and offers appropriate and constructive suggestions and criticism.

·        Utilizes any extra time during decreased workload to assist other employees that may have extra workloads.

·        Organizes work in a manner to keep up with all the details of the job requirements.

·        Demonstrates competency in skills and knowledge pertinent to the practice of accounts receivable.

·        Demonstrates working knowledge of insurance carrier rules and regulations as pertaining to reimbursement.

·        Consistently performs routine tasks in an independent manner, while exercising good judgment during those instances when help may be needed, or a supervisor needs to be informed.

·        Other duties as assigned.

·        Seeks continual professional development by updating current knowledge base regarding private insurance reimbursements.

·        Utilizes proper chain of command when addressing concerns or problems.

·        Proficient computer skills with Microsoft Excel.

·        Excellent Communication (Verbal & Written) Skills.

·        Data entry skills.

·        Strong work ethics and confidentiality.

·        Time management skills and attention to detail.

•   High school diploma or equivalent
•  2 + years of relevant healthcare AR and denials experience required.
•  Experience working with claims billing preferable.