Medical Billing A/R Specialist

You will be apart of a growing team of enthusiastic, hard working, and caring staff that will do all they can to assist you.

You will be responsible for the (A/R) Department, where you will be responsible for completing patient financial services (PFS) tasks such as billing and/or accounts receivable follow-up with payers. You will maintain quality and productivity requirements as outlined in the position performance expectations. Your key responsibilities will include:

• Processing and submitting accurate and timely claims to payers
• Analyzing and researching unpaid claims
• Assisting in the resolution of denials, partial payments, and payment variances

Additional responsibilities of the Medical Billing Specialist include:

• Maintaining and releasing all-ship-verified claims for all third-party claims (commercial or government) accounts within established time frames as assigned
• Resolving errors and making claim edits assigned in work buckets
• Following work list prioritization of accounts as established by department policies and procedures for resolving accounts and/or submitting claims
• Contacting payers and patients when necessary
• Requesting relevant information from appropriate Revenue Cycle and clinical departments as required through the course of the PFS processes
• Making necessary adjustments to patient demographic, insurance, and account balance information
• Completing A/R adjustments where permitted and appropriate: requesting other adjustments where permitted and appropriate

Compliance and Adherence:

You will comply with and adhere to all regulatory compliance areas, policies, and procedures (including HIPAA and PCI compliance requirements), and leading practices.

Required Qualifications:

• 3+ years in healthcare reimbursement or medical insurance billing
• 1+ years working with Microsoft Office, specifically Excel, Outlook, and Word
• 1+ verifiable high school diploma or GED

Preferred Qualifications:

• Prior related Healthcare Revenue Cycle experience, preferably within Collections and Billing
• Knowledge of Healthcare billing, collections practices, and/or infusion service
• Exceptional communication skills and phone etiquette
• Familiarity with customer service expectations, computer processing, knowledge of Centricity billing software (a plus), and medical and billing office terminology.