AR Specialist

Responsibilities

• Accurately post payments and adjustments into the practice management system including co-payments, insurance payments, and patient payments
• Reconcile posted payments (unapplied) with deposits and billing guidelines
• Identify over and underpayments, denials, and apply contractual adjustments in accordance with payer agreements
• Alert leadership of any discrepancies and ensure all payment batches are balanced in both their dollar value of payments and adjustments prior to posting
• Maintain up-to-date account records to ensure accuracy and patient satisfaction
• Post all credit and debit adjustments to patient accounts
• File all charge, payment, and adjustment batches in the appropriate format by batch date for quick reference

Accounts Receivable

• Provide customer service via telephone and/or email for all patients and authorized representatives regarding patient accounts
• Absorb and process patient calls regarding AR inquiries and/or processing payments
• Verify all demographic and insurance information in the electronic health record for accuracy prior to resubmitting or processing a claim
• Follow-up on assigned outstanding insurance claims
• Provide new or relevant or trending information as it pertains to claims, insurance coverage guidelines, compliance, and/or reimbursement to leadership
• Recommend accounts and assist with initial review for outside collection agency when internal collection efforts fail

Back Up Billing

• Serve as back up to Billing during absences and high-volume periods
• Submit clean claims to insurance carriers and other payers in a timely manner
• Review claims for accuracy, apply appropriate modifiers, and follow checklist for consistency
• Correct and resubmit rejected or denied claims as necessary
• Submit to secondary insurance as appropriate

Other

• Attend relevant seminars to remain abreast of current issues regarding Orthotics and Prosthetics accounts receivable
• Ensure compliance with company, local, state, and federal regulations including but not limited to Fraud & Abuse, Medicare Compliance, HIPAA, OSHA, etc.
• Proficiency with all facets of the medical practice management system including patient registration, charge entry, insurance processing, advanced collections
• Proficiency with insurance portals for eligibility verification and claim status, med rec submissions, appeals, etc to efficiently conduct accounts receivable follow-up and to maximize revenue
• Maintain an organized, efficient and professional work environment

Requirements

• Strong communications skills (Verbal and written)
• Solid mathematical skills
• Requires a minimum typing speed of forty (40) words per minute and ten-key by touch
• Extensive working knowledge of managed care networks and insurance carriers
• Familiarity with EOBs, ERAs, and medical billing processes
• Extensive knowledge of accounts receivable functions including HCPCS and ICD-10 coding
• Proficiency in general office automation including operation of e-fax, postage machines, and multi-line phone systems, computers, scanners, portals, etc
• Proficiency in working with a PC, the Internet, and MS Windows
• Ability to prioritize, plan, and organize daily responsibilities
• Critical thinking and problem-solving abilities
• Team oriented with the ability to be self-driven and independent

Education & Experience

• High School Diploma
• At least 3 to 5 years’ experience in healthcare accounts receivable

Salary Description

$18.00 to $20.00