Medical Billing - A/R Specialist

Accounts Receivable Specialist- Medical Billing

Job Description

Follow up on outstanding or rejected insurance claims with the insurance providers as well as coordinate with medical records to gather any additional information that the insurance providers request.

Job Duties:

• Follow-up on all outstanding insurance claims, which include correspondence, denials and rebills.

• Understanding of insurance explanation of benefits and other insurance correspondence.

• Make necessary arrangements for medical records requests, additional information requests, etc. to be sent to appropriate location based on client/insurance instructions.

• Provide excellent customer service.

• Perform additional duties as assigned.

Qualifications:

• Personable, customer service focused, optimistic and sets a positive tone in all conversations

• Possesses excellent verbal communication skills. Speaks clearly and persuasively, delivers information in a professional and courteous manner multi-tasking

• Able to talk on the phone while documenting notes in the system, as well as review account details simultaneously

• Exhibits above average computer skills and willingness to learn new and required applications. Must be familiar with Microsoft Word and Excel

• Self- motivated and willing to take on responsibilities and challenges. Seeks better ways to find solutions and offers suggestions for improvement. Maintain production and quality assurance standards

• Able to use logic and reasoning to evaluate alternative solutions

• Must be able to type 40 WPM

Qualifications (required):

• Familiar with medical systems, specifically Athena

• Medical insurance background.

• 5+ years’ experience with insurance follow-up procedures, specifically Pain Management billing.

• Knowledge and understanding of the Health Insurance Portability and Accountability Act (HIPPA) and compliance