AR Specialist

Overview

The Accounts Receivable Specialist plays a key role in the revenue cycle process by collecting debts from patients or insurance companies.

Responsibilities

• Work aged receivables utilizing A/R reports
• Review and assess adjudicated claims for timely and proper payment of outstanding balances
• Research, correct, and resubmit or reprocess unpaid claims as necessary
• Verify validity of account balances by researching, reviewing, and ensuring accuracy of payment and adjustment postings
• Identify liability with guarantor and transfer balances timely and appropriately
• Review and interpret Explanation of Benefits (EOB) for denials and underpayment of codes
• Research and resolve denials and underpayments with insurance carriers
• Submit carrier appeals and reconsideration requests in a timely manner
• Process insurance refund requests according to policy and procedure
• Meet productivity goals and benchmarks as set by the Billing Manager
• Serve as primary customer service representative for payer inquiries and secondary for patient inquiries
• Maintain confidentiality of patient information
• Collaborate with Coding, Billing, Front Desk, and other departments as needed

Requirements

• Ability to type 60 words per minute preferred
• Strong customer service skills
• Excellent interpersonal, oral (including telephone), and written communication skills
• Good organizational skills with the ability to prioritize and meet deadlines
• Complete understanding of medical reimbursement and terminology
• Working knowledge of standard office equipment

Compensation

• $18-23 hourly (pay range considers candidate background, experience, and work location, with potential for salary growth within the position)