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Accounts Receivable Specialist- Irvine, Ca

American Medical Technologies Irvine Full-Time
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  JOB SUMMARY: 

The Accounts Receivable Specialist is a key component in the Revenue Cycle Management (RCM) process for Gordian Medical. Reporting directly with the Revenue Development Manager or Insurance Manager, job functions will include responsibility for accurate review of accounts receivable balances. To ensure that claims are paid at the companies’ negotiated rate. Through this with the RCM and other departments, the goal will involve ensuring the collected rate for service is received and the collections goals can be met.  

Accountable to Revenue Development Manager and Insurance Manager 

RESPONSIBILITIES: 

¾ Work in accordance to the companies’ standards, practices and policies 

¾ Call payers for claim updates 

¾ Work Accounts Receivable 

¾ Update patient files accurately and effectively with all collection activity 

¾ Work in coordination with all departments to meet organizational goals 

¾ Work closely with the Cash Team and Audit and Appeals  

¾ Identify managed care contractual issues and provide feedback to payer relations 

¾ Provide excellent customer service to clients, customers and co-workers 

Other Duties: 

¾ Communicate regularly with RCM Assistance Manager, Revenue Development Manager and Insurance Manager  

¾ Attend meetings as required 

¾ Attend continuing education courses when available 

¾ Peer training 

¾ Recognize denial trends 

¾ Continuously work towards The Company’s goal and vision. 

¾ Weekly Summary Reports 

Qualifications: 

¾ 1-2 years’ experience in a medical/billing office preferred 

¾ Previous experience in insurance verification, pre-authorization, billing and collections strongly preferred 

¾ Knowledge of health care system, including but not limited to Medicare, Commercial and Medi-cal/Medicaid coverages.  

¾ Detail oriented, strong communicator, organized and able to multi task in a fast-paced environment.  

¾ Basic knowledge in medical terminology.  

¾ Ability to work independently as well as cohesively with other team members.  

¾ Knowledge in Outlook E-mail, Word and Excel.  

¾ Excellent organizational skills, ability to problem solve and work as an independent worker.  

¾ Good math and computer skills.  

¾ Compliance with HIPAA and PHI guidelines.  

¾ This position requires excellent communication skills and relationship building 

¾ Excellent in verbal and written communication 

¾ Establish and maintain relationships 

¾ Work well in team situations and with groups 

¾ Self-motivated 

¾ Able to apply critical thinking skills 

¾ High school diploma or equivalent  

  American Medical Technologies is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. 

 

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Claims
Medicare
Medicaid
Appeals
Managed Care
Coordinating

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Accounts Receivable Specialist- Irvine, Ca
Estimated Salary: $44K
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Job ID: 298965

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