The Accounts Receivable Specialist is responsible for the accurate and timely collection of claims and managing consumer accounts. This position will work independently and will be expected to be skilled in investigating unpaid claims with proper resolution of errors to obtain payment.
Job Responsibilities:
- Manage the comprehensive collection efforts for assigned payers
- Detailed investigation of unpaid claims and an understanding of proper escalation both internally and externally
- For patients with secondary insurance, submit claims as needed
- Collaborate with all internal team members to guide the AR recovery process effectively and efficiently
- Ensure effective communication with both internal and external stakeholders
- Interact daily with client team members to ensure accurate transfer of patient information for verification purposes
- Document all interactions with payers
- Adhere to all company policies and procedures
- Conduct business in a safe, compliant, and secure manner as it relates to HIPAA and patient privacy
- Other duties as assigned
Required Education and Qualifications:
- High School diploma or equivalent and 3-5 years of related work experience
- Knowledge of third-party payer requirements including federal, state, and Commercial
- Proven experience in healthcare billing, including Medicaid and Managed Care
- Experience with Raintree Systems is strongly preferred
- Knowledge of basic insurance policies, procedures, and reimbursement practices
- Prior experience with process development and execution
- Excellent communication and interpersonal skills
- Computer literacy as well as a working knowledge of various EMR platforms is a plus
- Microsoft Office, with a focus on Excel