Accounts Receivable Specialist

About the role

The Accounts Receivable Specialist is responsible for managing patient accounts, insurance claims, and collections. This position requires a minimum of five years of experience in hospital billing and insurance follow-up, preferably in a large volume setting.

Responsibilities

• Responds to customer inquiries and requests for information from insurance providers
• Reviews and processes insurance claims to ensure timely and accurate billing
• Works with various departments to resolve account issues and maintain compliance with insurance regulations
• Collaborates with other business office staff to ensure claims are billed and resolved compliantly and timely
• Provides clear and concise documentation of actions taken on accounts in the system notes
• Ensures accurate resolution of accounts to payment or client terms

Qualifications

• High School diploma or equivalent
• Some college education preferred
• Five years of experience in hospital billing and insurance follow-up, preferably in a large volume setting
• CRCS - Certified Revenue Cycle Specialist (AAHAM) or Certified Patient Account Technician (CPAT) through AAHAM, or other hospital billing certification
• Sufficient proficiency in speaking, reading, and writing the English language
• Extensive knowledge of claims reimbursement and insurance collection practices
• Extensive knowledge of billing, collections, reimbursement, contractual agreements and the appeals process
• Sharp analytical abilities in order to resolve patient/insurance accounts timely, accurately, and compliantly
• Proficient computer skills and ability to learn and navigate multiple software programs
• Knowledge of insurance account receivable and revenue cycle
• Expert knowledge of the various state and federal insurance programs
• Ability to partner with various hospital departmental counterparts
• Working knowledge of International Classification of Disease (ICD) coding (procedure and diagnoses), Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS)

Skills and Abilities

• Demonstrates the skills and competencies necessary to safely perform the assigned job
• Effective communication and negotiation skills
• Good judgment in account resolution
• Sharp analytical abilities
• Excellent communication and customer service focus
• Proficient computer skills
• Knowledge of insurance account receivable and revenue cycle
• Expert knowledge of the various state and federal insurance programs
• Ability to partner with various hospital departmental counterparts
• Working knowledge of International Classification of Disease (ICD) coding (procedure and diagnoses), Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS)

Benefits

Details about benefits will be provided upon hire.

Pay

Details about pay will be provided upon hire.

Schedule

Details about schedule will be provided upon hire.