A/R Specialist

Essential Job Responsibilities

• Processes insurance claims by following up with assigned insurance companies, resubmitting claims or inquiries, and working rejections from the clearinghouse
• Works and updates assigned tasks until the account has reached a zero balance or turned over to patient responsibility
• Checks for denials from claim scrubbing process
• Assists with coding and error resolution from the clearinghouse and insurance companies
• Processes refunds in a timely manner
• Reduces claim denial turn-around time by following up with assigned insurance company
• Assists the front desk regarding carrier questions
• Submits secondary insurance as needed, if submitted by paper claims
• Maintains strictest confidentiality and follows all CNSA guidelines regarding HIPAA regulations
• Follows CNSA compliance program, reports any concerns to manager
• Participates in educational activities and training, reads carrier policies, and stays up to date on all changes that are published through bulletins or on the web sites
• Completes additional tasks as assigned by management

Company Culture Responsibilities

• Reflects CNSA Core Values in all job responsibilities and interactions
• Compassion: Treats others with compassion and empathy
• Teamwork: Collaborates with all team members
• Communication: Communicates effectively and with positivity
• Innovation: Remains open-minded to new ideas and continual improvement
• Community: Treats every patient and team member as a part of the CNSA community
• Participates in department or system wide improvement plans
• Reports to work and adheres to assigned schedule from manager
• Performs high-quality work that is neat, accurate, complete, and on time
• Offers help to all patients by promptly responding to requests and needs
• Asks questions to gain full understanding of assignments
• Uses computer for approved work purposes only, and limits personal phone calls

Work Schedule

Monday – Friday: some flexibility as to exact hours ranging from 8:00am – 5:00pm.

Qualifications

• Education: At least a High School Diploma or GED
• Job Related Experience: Minimum of one year billing or front desk experience in a health care organization

Other Requirements

• Performance Requirements:
  • Knowledge:
    • Medical and insurance terminology
    • Payer guidelines
    • Legal and ethical considerations related to patient information
    • HIPAA guidelines and policies
    • Customer service principles and techniques
    • Awareness and understanding of interdepartmental responsibilities for informed decision making
  • Skills:
    • Time management, problem solving, multitasking, and prioritizing
    • Effective communication
    • Basic understanding of Microsoft Office Suite
    • Detail orientation
  • Abilities:
    • Establishes and maintains effective working relationships with coworkers and diverse patient populations
    • Analyzes situations and responds appropriately
    • Organizes and prioritizes information and assignments
    • Works independently with little or no supervision
• Mental/Physical Requirements: Sitting and standing associated with a typical office environment. Speaking and hearing, both in-person and on the phone.

Benefits

N/A

Schedule

Monday – Friday: some flexibility as to exact hours ranging from 8:00am – 5:00pm.

Pay

N/A