*Insurance AR Specialist*

Overview

As an Insurance A/R Specialist, this position collects payments for an assigned segment of the insurance accounts receivable and performs collection duties in accordance with established federal and state regulations.

Responsibilities

• Follows-up with insurance companies and ensures claims are paid/processed.
• Works all accounts with understanding of all applicable insurance and/or CMS regulations.
• Resubmits insurance claims that have received no response or are not on file, in a timely manner according to each insurance’s contracted filing limits.
• Reviews and appeals unpaid and denied claims as appropriate. This includes analysis of coding, insurance eligibility, contract requirements, etc. that ensures proper billing.
• Makes changes to demographic and insurance information as necessary in order to produce a clean claim.
• Researches and prepares insurance credits for refund approval.
• Prioritize work to maximize turn-around time.
• Mets or exceeds productivity standards in the completion of daily assignments and accurate production.
• Maintain an error rate in accordance with departmental policy.
• Answer and respond to external and internal phone calls in a timely and professional manner.
• Check and respond to emails in a timely and professional manner.
• Performs all other assigned duties.

Qualifications

• Education: High School diploma or equivalent
• Prior Experience: 2 years medical billing or healthcare insurance follow up experience
• Skills And Proficiencies: Active knowledge of CMS guidelines, contracted insurance guidelines and coding policies; Demonstrated computer literacy; Well-organized with attention to detail; Excellent math skills; Ability to read and understand oral and written instructions; Establish and maintain effective working relationship with team members, clinic staff, payers and patients; Excellent professional customer service skills; Have a desire and dedication to work with self-discipline; Maintains the strictest confidentiality: adheres to all HIPAA guidelines and regulations.

Physical Abilities

• Ability to sit for long periods.
• Work requires walking, bending, standing, sitting, and reaching.

Benefits & Perks

Your health, happiness and your future matters! At AVP, we offer everything from medical and dental insurance, significant eye care discounts, child care assistance, pet insurance, continuing education funds, 401(k), paid holidays, PTO, Sick Time, opportunity for growth, and much more!