Senior Accounts Receivable Specialist RCM

Essential Duties

• Investigate, follow up with payers, and collect the insurance accounts receivable assigned by the manager of outsourced and internal AR aging, clearinghouse rejections, and payer denials.
• Perform comprehensive follow up activities that facilitate cash collections and document follow up activity in the appropriate system.
• Maintain professional interaction with colleagues and clients.
• Identify any payer-specific issues and communicate to team and manager.
• Comply with performance and productivity standards while maintaining quality levels, as set forth by senior leadership.
• Navigate and utilize payer websites for appeals/reconsiderations, medical records attachments, verification of benefits and/or web-based claims follow up.
• Research and completes special projects and requests as needed.
• Participates in staff meetings and assigned continuing education, and recommends new approaches, policies, and procedures to effect continual improvement in efficiency of the department and services performed.

Skills, Knowledge, Abilities

• Displays the ability to manage difficult or emotional customer situations; responds promptly to customer needs; solicits customer feedback to improve service; responds to requests for service and assistance; meets commitments.
• Exhibits knowledge of commonly-used concepts, practices, and procedures within the field of Accounts Receivable; exhibits ability to learn and apply new skills; keeps abreast of current developments; requires supervision; displays understanding of how job relates to others; uses resources effectively.
• Displays willingness to make decisions; exhibits sound and accurate judgment; supports and explains reasoning for decisions; includes appropriate people in decision-making process.
• Prioritizes and plans work activities; uses time efficiently; sets goals and objectives; develops realistic action plans.
• Identifies and resolves routine problems in a timely manner; gathers and analyzes information skillfully; displays the ability to recommend alternate solutions; works well in group problem solving situations; uses reason even when dealing with emotional topics.
• Communicates changes and progress on assigned project tasks; completes projects on time.
• Excellent analytical and problem-solving skills. Effective communication and interpersonal skills. Detail-oriented and capable of meeting tight deadline.
• Exhibit growth mindset and team-orientated behaviors.

Requirements

• Education: High school diploma required. Bachelor’s degree in Accounting, Finance, or related field preferred.
• Experience: Proven experience in accounts receivable or related financial role. 5 years’ experience in Healthcare Revenue Cycle required.
• Proficient in using payer software and EMR systems.