Accounts Receivable - Medical
Staffmark | Nashville, TN | Posted 9/18/2014
JOB DESCRIPTION

   Patient Account Rep - A/R Specialist

 

GENERAL JOB DESCRIPTION: Under general supervision, is responsible for a variety of office/clerical tasks relating to patient A/R; contacts patients and responsible parties to resolve past-due accounts; investigates account status and initiates collection.

 

DUTIES/RESPONSIBILITIES:    

 

1.     Comply with all applicable Company policies and procedures

2.     Understand and comply with all governmental, regulatory and company billing and compliance regulations/policies including but not limited to Medicare and Medicaid programs.

3.     Maintain working knowledge of current HME products and services offered by the Company and all applicable insurance guidelines respecting eligibility for coverage and reimbursement.

4.     Working knowledge of reimbursement requirements for all insurances; must be comfortable knowing what is required to bill, by insurance, in a manner to provide sufficient certainty the claim will be paid. Requires constant review for updates and revisions by monitoring appropriate insurance companies’ and government agencies’ websites.

5.     Identifies problem accounts with payors; investigates and corrects errors, follows-up on missing account information, and resolves past-due accounts.

6.     Answers inquiries by phone regarding past-due accounts and insurance guidelines; researches incorrect addresses for past-due accounts.

7.     Contacts responsible party to resolve delinquent accounts; prepares payment plans and monitors adherence to plans by responsible party; directs accounts to outside collection agencies when necessary.

8.     May contact attorneys, employers, physicians, and others necessary to obtain information for resolution of credit and collection matters.

9.     Posts data; verifies and performs mathematical computations; maintains files.

10.Composes and types routine correspondence, memos, letters, etc.

11.Performs other duties as assigned

 




JOB REQUIREMENTS

MINIMUM QUALIFICATIONS:

Knowledge of medical terminology and DME (preferred)

Knowledge of Brightree or other medical billing software

Knowledgeable in all insurance carrier reimbursement guidelines and eligibility for coverage by third party payers

Knowledge of government, regulatory and Company billing and compliance regulations/policies for Medicare and Medicaid

Effective verbal and written communication skills

Ability to respond to questions in a tactful and professional manner

Customer services skills

Ability to make basic numerical calculations

Ability to maintain confidentiality

Ability to interpret accounts and records

Ability to persuade and influence

Skills: MS Excel, Word and 10-key skills required

 

MINIMUM QUALIFICATIONS:

Two years experience in insurance office or doctor’s office, medical collections experience preferred

High school education required

 

REQUIRED KNOWLEDGE/EXPERIENCE:

Knowledge of computer systems and basic accounting concepts

Office machines (faxes and copiers)

 

COMPETENCY REQUIREMENTS:

A/R Specialist competency

 



JOB SNAPSHOT

Employment Type: Full-Time
Base Pay: $15.00 - $17.00 /Hour
Other Pay: N/A
Industry: Healthcare - Health Services
Education: Not Specified
Experience: At least 3 year(s)
Manages Others: Not Specified
Relocation: Not Specified
Required Travel: Not Specified
Job ID: Not Available

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COMPANY OVERVIEW

Staffmark has been finding people jobs for more than 40 years. Whether you're looking for a flexible, short-term temporary assignment, or a long-term position, Staffmark will work with you to find the job that's right for you. We take the time to get to know you, your goals and objectives, and then work with you to find the best job opportunities available.

With more than 300 locations across the country, Staffmark is ready to help you with your job search.

We encourage you to join the hundreds of thousands of people who have found work through Staffmark.
http://www.staffmark.com

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