AR Specialist (Full-Time)

Description

The AR Specialist is a multi-tasking highly skilled position that encompasses all key functions of physician billing. The AR Specialist position requires an advanced revenue cycle knowledge that has been acquired through experience and developed through training and education.

The AR Specialist supports patient-centered care and Customer Service by serving as a patient advocate during the life cycle of the account. Under direct supervision, the AR Specialist is expected to maintain productivity, accountability, and produce very efficient and proficient results.

• Highly motivated individual with a proven ability to manage multiple tasks
• Extensive knowledge of medical billing processes focusing on OB/GYN billing and insurance denials
• Proficient in medical terminology, coding, and billing systems
• Possesses exceptional organizational skills, a mature, pleasant, and professional telephone manner, and the ability to prioritize work
• Ensures that the aging Accounts Receivable (AR) is kept current and that all denials are researched and updated
• Responds effectively to sensitive inquiries or patient complaints to Diana Health's patient population

Core Revenue Cycle Functions

• Complies with Revenue Cycle policies and procedures
• Works assigned task lists, work queues, work files and reports
• Maintains current knowledge of third-party payor reimbursements and managed care contracts
• Maintains knowledge and is familiar with physician billing, accounts receivable, and EHR systems
• Utilizes and identifies all components of Explanation of Benefits (EOB)/Explanation of Payments (EOP)
• Accurately counts and tracks all daily activities and production
• Completes and accurately documents activity or communication on accounts
• Mets department production standards consistently as defined by department management
• Works special projects as assigned by Manager, Supervisor, or others

Knowledge, Skills, Abilities

• Language/Communication Skills: Skill and ability to communicate effectively both verbally and in-writing
• Mathematical Skills: Adds, subtracts, multiplies, and divides in all units of measure, using whole numbers, common fractions, and decimals
• Computer / Technical Skills: Skill and ability in Physician Billing Systems (PB), Electronic Medical Records (EMR), and Microsoft Office applications with working usage of MS Word, Outlook, and Excel
• Customer Service Skills: Ability to advocate on patient’s behalf, listen to patient concerns attentively, and address patient matters promptly, courteously, and respectfully

Qualifications

• High school diploma or GED required
• 3 to 5 years of experience in medical claims collection and be familiar with aging reports, delinquent claims reports, correspondence, EOBs, and other sources of information
• Demonstrated ability to be detail oriented with strong aptitude for accuracy required
• Demonstrated ability to effectively work with others required
• Knowledge of proper business writing standards for letters and memos including the ability to write a correspondence with proper punctuation, grammar, spelling, etc
• Proven effective verbal, listening and written communications skills

Benefits

• Competitive compensation
• Health; dental & vision, with an HSA/FSA option
• 401(k) with employer match
• Paid time off
• Paid parental leave

Diana Health Culture

• Having a growth mindset and striving for continuous learning and improvement
• Positive, can do / how can I help attitude
• Empathy for our team and our clients
• Taking ownership and driving to results
• Being scrappy and resourceful