Accounts Receivable Specialist - Medical Billing

JOB FUNCTIONS The primary responsibility of the AR Specialist is to actively work assigned clients accounts receivable, and rapidly respond telephone inquiries from patients. Works and coordinates with RCM to ensure smooth and efficient operation in all areas of accounts receivable Works necessary reports to ensure assigned client AR is actively worked & maintained Serves as client/patient support to assigned clients ACCOUNTS RECEIVABLE RESPONSIBILITIES Works Denials Daily File Rejected Denial Report In Progress Non-Primary Sent Secondary Crossover Review Bad Address report weekly Update patients address in Centricity when report provides updated information Those without new information, send list to practice 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. Bill Status Report Hold Charges Reviews charges on hold weekly, and coordinates with charge processor to ensure timely release of charges to avoid untimely filing CLAIM SUBMISSIONS CORRECTIONS Will review, prepare, and submit claims to third party payers (primary and secondary) according to established policies and procedures DEMOGRAPHICS Will retrieve, review, verify benefits, and update new insurance information as needed Move demographic files to GeBBs daily for assigned clients Sign-off on Daily Client 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 within 48 hours Accounts Receivable follow-up Pulls EOB's REFUNDS Will actively 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 actively work to a successful conclusion Monitor patient balances, and actively move 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 Medicaid follow-up with practice charity status Assists in processing credit card payments from patients Maintain current list of medical policies for the various procedures, and or diagnosis covered by those entities Ensure all corporate guidelines are maintained and practiced daily Maintain a Team Player attitude at all 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 projects as assigned Apply Job!