Accounts Receivable Specialist
Description
Position Description:
The AR (Accounts Receivable) Specialist position is a part of the Insurance Collections Department that assists with Insurance Collections through routine follow up, pre authorizations, and denial management techniques.
Position Duties:
This position requires the following to successfully execute all job functions:
- Obtains and documents bill payment status
- Send medical records to insurance payers
- Resolves AR denials correctly
- Sending pre- drafted appeal letters
- Confirm receipt of claim documents
- Adjusts balances according to any applicable fee schedules
- Confirm correct payment of claims
- Request supporting documentation from insurance carriers
- Provide detailed chart and encounter notes
- Document payments made to patients, attorney, and expected payments to our facilities
- Obtain missing information from patients
- Answer Billing/Collections line and “Zero line for all corporate departments
- Answer patient phone calls regarding billing questions
- Provide explanations of billing
- Respond to group emails and department requests in a timely manner
- Confirm, document, and obtain prior authorization of procedures
- Review and correct electronic claim errors
- Submit Provider maintenance.
- Ensure all surgical charts have complete verification details available in chart
- Coordinate with other AR Specials and departments to resolve billing errors
- Complete all other assigned tasks from management after completion of all previously mentioned duties.
Position Expectations:
To perform the position successfully, an individual is expected to:
- Understand and manage AR denials
- Understand medical terminology and practices
- Be detail oriented and focused
- Use knowledge of system functions and Microsoft suite.
- Understand revenue cycle
- Be goal oriented and metric focused
- Work well with others
- Maintain a positive attitude
- Use effective communication methods
- Multi-task
- Use resources available to overturn AR denials
- Monitor emails closely
Position Metrics:
The execution of the position is quantifiably measured by the following:
- Production
- Department Collections
- Company collections
Requirements
Education:
- High School diploma; additional certifications or degrees are a plus but not required
Experience:
- 1 + years of experience in Insurance collections or medical billing.
Required Skills:
- Understanding of Insurance collections process.
- Ability, and willingness to meet deadlines.
- Strong attention to detail.
- Basic knowledge of Microsoft suite.
- Team player attitude, and the ability to cohesively work with colleagues on all levels.
Position Miscellaneous:
- Hourly; Non-Exempt
- 40 hours per week; extended work hours may be approved by management to meet deadlines
- Successful attainment of individual and department goals is critical.
- Additional duties can be assigned by management upon completion of normal position duties within reason.
Physical Demands:
- Frequent sitting;
- Frequent manipulation of documents.
- Frequent typing or use of keyboard.
- Occasional lifting up to 10-15 pounds.
- Occasional stooping and bending.
Recommended Jobs
Data Specialist
Precision Steel Services, a trusted steel supplier in the Midwest since 1974, is seeking a dedicated and detail-oriented Quote Data Specialist (QDS) to join our team. The QDS team is responsible for …
Sales Consultant
Compensation: Up to $19 per hour Company Overview To live our four core values of Building Leaders, Always Branding, Listen, Fulfill, and Delight, and Creating a Fun Enthusiastic Team Environment…
Accounts Payable Administrator
Are you a service-oriented professional with a passion for accounting? Consolidated, a cooperative dedicated to enhancing the quality of life for our members and communities in Central Ohio, is looki…
Registered Cardiac Sonographer - Non-Invasive - Toledo Hospital
Location: Toledo Hospital Department: Service Line Development Weekly Hours: 40 Status: Full time Shift: Days (United States of America) Sign On Bonus: …
Human Resources/Union Relations Specialist
Job Description Summary This role will provide support to the Union Relations Manager and the Human Resources team at the Evendale campus. The HR/UR Specialist will own the contractual internal mo…
Driving School Instructor Part-Time (Gallipolis)
Driving School Instructor Part-Time Join AAA Driving School as a Part-Time Driver Training Instructor! Make a meaningful impact by helping create safer roads in your community. AAA is hiring pa…
K-10th Grade Tutor in Center 1:1 Making a Difference, Now in Dublin
Summary: ~ Reading/Math/K-10th Teacher (4-6:00 & 6-8:00 PM) (PT). Saturday 10-12:00, 12-2:00. ~ K-3, 1:1, Phonics/Comprehension/Math, No Prep/Grading/Conferences! ~ Professional Environment, 1:1…
Residential Electrician - Lead Position
MUST HAVE MINIMUM 4 YEARS EXPERIENCE Join a Crew That Takes Pride in the Work. At Reli Electric, we’re not just wiring houses — we’re building a team that takes pride in craftsmanship, works …
LPN / Licensed Practical Nurse
Title: Licensed Practical Nurse (LPN) Location: Gratiot, Ohio Are you seeking a fulfilling career opportunity in healthcare within a vibrant and supportive community? Look no further! Join our i…
Pediatric Occupational Therapist
About the Role We are seeking a compassionate and skilled Pediatric Occupational Therapist (OT) to join our outpatient pediatric rehab team . You’ll provide individualized, one-on-one care to c…