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Summary Description: Accounts Receivable Specialist is responsible for providing timely and efficient follow-up with all payer types for all unpaid claims and presenting data to appropriate parties. Daily Responsibilities: · Researches and resolves unpaid, denied, or pending claims and invoices. · Responsible for the appeal process including filing appeals and monitoring appeals through completion. · Responsible for accurate information and data input on all patients, insurance, notes, and claims. · Generates invoices for client billing. · Negotiates with the responsible party on unpaid accounts. · Assists in identifying potential billing issues. · Participates in staff meetings and offers appropriate and constructive suggestions and criticism. · Utilizes any extra time during decreased workload to assist other employees that may have extra workloads. · Organizes work in a manner to keep up with all the details of the job requirements. · Demonstrates competency in skills and knowledge pertinent to the practice of accounts receivable. · Demonstrates working knowledge of insurance carrier rules and regulations as pertaining to reimbursement. · Consistently performs routine tasks in an independent manner, while exercising good judgment during those instances when help may be needed, or a supervisor needs to be informed. · Other duties as assigned. Required Skills· Seeks continual professional development by updating current knowledge base regarding private insurance reimbursements. · Utilizes proper chain of command when addressing concerns or problems. · Proficient computer skills with Microsoft Excel. · Excellent Communication (Verbal & Written) Skills. · Data entry skills. · Strong work ethics and confidentiality. · Time management skills and attention to detail. Required Experience
High school diploma or equivalent
2 + years of relevant healthcare AR and denials experience required.
Experience working with claims billing preferable.
