Accounts Receivable Specialist

Key Responsibilities

• Payment Posting: EFT, credit card, ACH, live check and insurance payments. Researches and evaluates insurance payments and correspondence for accuracy & process/post insurance and patient payments. Matches EOB and payment records with payments, processing write-offs, batching and scanning of payments with applicable record keeping.
• Billing: Accurate and timely submission of all claims for all payers, review and prepare daily claim/invoice submission for primary, secondary, & tertiary payers and/or patient statements. Review rejected claims, perform correction activities and ensure resubmission as appropriate. Ensure all Contract Billing Partner billing is submitted to appropriate outsourced partner.
• Collections: Timely and accurate follow up on unpaid claims or patient accounts, work assigned lists of outstanding claim balances and/or patient accounts with multifaceted issues across different payers and patients. Identify trends, conduct follow up and perform root cause analysis on unpaid and underpaid insurance claims across different payers. Analyze and resolve billing discrepancies on patient accounts, communicate findings to patient. Draft appeals and effectively overturn denied or underpaid claims, remediation, appeals research, re-bill & payer resolution.

Essential Skills

• Analytical Skills: Ability to analyze data, identify trends, and make recommendations.
• Communication Skills: Excellent communication and interpersonal skills to effectively collaborate.
• Technical Skills: Proficiency in accounting software, Microsoft products with proficiency in Excel.
• Excellent organizational and time management skills: To manage a high volume of work and ensure timely processing of information.
• Attention to detail: To ensure accuracy in patient records and insurance information.
• Problem-solving skills: To address any issues or challenges that may arise during the intake process and within the established AR department workflow.

Job Requirements & Physical Demands

• Must be able to lift 40 pounds, must be able to lift 40 pounds from the floor and lift to waist level.
• Must be able to kneel, stoop, climb stairs and reach with hands and arms.
• Reliable work transportation.
• Candidates must pass an extensive background check.
• Strict adherence to HIPAA, Medicare Fraud, Waste, and Abuse and privacy regulations in all patient interactions.