Insurance AR Specialist

Responsibilities

• Works and/or maintains every account in the assigned AR in the 60+ day categories.
• Reviews EOBs within a two-week turnaround.
• Documents accurate collection activity in the collection tracking notes.
• Evaluates status of accounts and prioritizes collection action (letters, phone calls, staff assistance).
• Calls on outstanding balances due from carriers in a timely manner.
• Telephone, interview, and counsel patients on outstanding self-pay balances.
• Responds to incoming telephone or mail inquiries in a prompt, timely manner.
• Completes write-off adjustment forms for accounts needing necessary adjustments and turns in to supervisor with appropriate documentation attached.
• Maintains collection logs for distribution to other teams for use in identifying areas needing attention/correction.
• Advises supervisor of any unusual collection accounts as they become delinquent or are in question.
• Prepares daily user reports for supervisor review and filing along with appropriate notes/documentation.
• Works with other departments to gather necessary information for proper account work/collection activity.
• Maintains a complete understanding of HCPCS/ICD/CPT oncology coding and specific carrier requirements/knowledge.

Required Qualifications

• High school diploma or equivalent required
• Bachelor’s degree preferred
• Minimum of 3 years of experience in medical collections required, preferably in an Oncology healthcare setting
• Urology / Surgery AR Experience a plus
• Expertise in insurance policies and regulations related to medical billing, including Medicare and Medicaid

Essential Competencies

• Attendance is an essential job function.
• Detailed knowledge of billing, HCPCS, CPT and ICD codes
• Previous commercial collections experience preferred
• Ability to work effectively with all levels of management and other colleagues, demonstrating initiative, mature judgment and customer service orientation.
• Effective verbal and written communications, including active listening skills and skill in presenting findings and recommendations.
• Exceptional Multi-tasking, organizational skills and superb attention to detail.
• Strong analytical skills
• Skill in negotiating issues and resolving problems.
• Excellent customer service skills.
• Proficient in the use of end-user computer applications regarding productivity (MS Word, Excel, Outlook), database and patient billing and other medical information systems.
• Able to operate various types of office equipment.
• Must possess high degree of professionalism and adaptability.