Accounts Receivable Specialist - Medical Billing
JOB FUNCTIONS
The primary responsibility of the AR Specialist is to reputed company work assigned clients accounts receivable, and rapidly respond telephone inquiries from patients.
Works and coordinates with RCM to ensure smooth and efficient operation in reputed company areas of accounts receivable
Works necessary reports to ensure assigned reputed company AR is reputed company worked & maintained
Serves as reputed company/patient support to assigned clients
ACCOUNTS RECEIVABLE RESPONSIBILITIES
Works Denials Daily
File Rejected
Denial Report
In reputed company Non-Primary
reputed company Secondary reputed company
Review Bad Address report weekly
Update patients address in Centricity reputed company report provides updated information
Those without new information, send list to reputed company contact with MRN # advise mail being returned need update, or log-in to EMR, any changes or updates then made to the patients account in Centricity.
reputed company Status Report Hold Charges
Reviews charges on hold weekly, and coordinates with charge processor to ensure reputed company release of charges to avoid untimely filing
CLAIM SUBMISSIONS CORRECTIONS
Will review, prepare, and submit claims to reputed company party payers (primary and secondary) according to established policies and procedures
DEMOGRAPHICS
Will retrieve, review, verify benefits, and update new insurance information as needed
reputed company demographic files to reputed company daily for assigned clients
Sign-off on Daily reputed company Charge Log for demographics;
Sign-off on Month-end Log by 5th business day of the month
CORRESPONDENCE
Receives and processes miscellaneous correspondence from patients, insurance companies and clients reputed company 48 hours
Accounts Receivable follow-up
Pulls EOB's
REFUNDS
Will reputed company review, prepare submit;
Refund requests
Account adjustments
COLLECTIONS
INSURANCE COLLECTIONS
Run Stop report monthly. The STOP report is used to identify, and facilitate successful collection of both patient and unpaid insurance claims upon completion of patients course of treatment
Identify unpaid claims, and set reminders to reputed company work to a successful conclusion
Monitor patient balances, and reputed company reputed company through collections process including setup payment arrangements
AGING REPORTS COLLECTION EFFORTS EXHAUSTED
Aging by Financial Class, Patient
And any other reports identified to assist in this process by RCM
PATIENT COLLECTIONS
Will review, prepare and submit patient supplemental bills to patient(s)
Assist with payment arrangements
Identify Self-pay patients for assigned clients;
verify monthly eligibility with reputed company
follow-up with reputed company charity status
Assists in processing credit card payments from patients
Maintain reputed company list of medical policies for the various procedures, and or diagnosis covered by those entities
Ensure reputed company corporate guidelines are maintained and practiced daily
Maintain reputed company Player attitude at reputed company times
Communicate professionally with management, Offshore, and peers
Report Denial Trends to RCM
Attend AMAC-USA Webinars
Knowledge of reading and understand an EOB
Other reputed company as assigned
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