Accounts Receivable Specialist

The Fountain Group.  We are a national staffing firm and are currently seeking an ­­­­­­­­Accounts Receivable Specialist for a prominent client of ours.  This position is located in ­­Lake Mary, FL.Details for the position are as follows:

Contract of 6 months, to start, with extensions and/or potential conversion.

Job Description:

• In this role, you will handle and resolve all Insurance follow up and denial issues to ensure that company receives correct reimbursements from the insurance companies. The incumbent will serve as the liaison between insurance companies, patients and the departments to ensure the claims are processed and followed up to meet companies goals of Account Receivable Days, Aging Account percentages and Cash goals. They will also research and answer all questions and complaints, regarding patient responsibility balances and billing inquiries sent to them through the customer call center with the highest degree of courtesy and professionalism.

• Research and resolve payment discrepancies.
• Review and manage the AR aging report and provide explanations of past due balances to management.
• Work aged accounts on assigned payers prioritizing accounts that are approaching timely filing denial.
• Escalate exhausted appeals efforts for resolution with payer.
• Performs assigned Revenue Cycle duties as directed by the Revenue Cycle Supervisor.
• Prepare write off requests as needed for any uncollectable balances.
• Review/knowledge of contracts to determine correct reimbursement for each account.
• Analyze and document A/R problems and implement processes to enhance efficiencies.
• Documenting accurate and appropriate notes on corresponding systems as needed.
• Outgoing correspondence (internal or external) must be written in a clear, concise, and professional manner.
• Provide coverage as needed to include performing staff’s work during their absences as assigned by management. Assist in areas of needs as assigned by supervisor.
• Maintains positive and regular results-oriented communication with payer representatives.
• Navigate and works all payer websites. Provide support to staff as needed.
• Enroll in payer newsletters and advise manager of needs.
• Initiate appeals to payers following the guidelines outlined for that payer. Note account and track appeal to resolution.

Qualifications:

• Previous posting and tracking of payments, insurance collections, denial management, appeals processing, researching payment discrepancies, and resolving reimbursement issues across the revenue cycle.

• Proficient computer skills.
• Proficient in Microsoft Excel, Word, Outlook, and/or other healthcare billing software applications.

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