AR Follow Up Specialist - Summit Medical Group

About the role

Summit Medical Group's Corporate Office is seeking an AR Follow-up Specialist to complete follow-up activities to ensure timely account reconciliation, minimize aging claims, and maximize revenue cycle efficiency. This is a full-time position.

Responsibilities

• Communicates with payers, patients, and providers to ensure timely resolution of all outstanding claims (due or overpaid) via phone, emails, fax, websites, or mail.
• Assists in maintaining, updating, and auditing the patient account and eligibility information.
• Coordinates with management in identification and resolution of denial trends, including timely escalation, regular updates, and attending payer meetings as needed.
• Manages account reconciliations related to missing remittance, refunds required, and any transfers or adjustments needed.
• Assists colleagues in the department and other office personnel, as appropriate.
• Displays initiative when investigating insurance pending reports and handling other assignments.
• Stays up-to-date and utilizes available payer website tools for claim and remittance functions.
• Communicates problems, questions, and/or concerns to supervisor timely.
• Keeps current knowledge of payer policy changes and internal billing policies.
• Communicates with and resolves inquiries from insurance companies, patients, and physicians regarding billing problems.
• Ensures coding is compliant and up to date.
• Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
• Attends training and other meetings as appropriate; keeps current on revisions related to registration and computer skills.
• Actively participates in site-level Quality Improvement Activities, contributing to the continual evaluation of site performance and implementation of improvement activities.
• Performs special projects and other duties as needed by the management team.

Requirements

• High School Diploma or GED required.
• One-year experience in a medical billing office setting preferred.

Skills

• Communication/Collaboration Skills
• Analytical/Problem-solving Skills
• Knowledge of Medical Terminology (preferred, but not required)
• Attention to Detail
• Multi-tasking
• Basic Computer/Technical skills