Examine denied and underpaid claims to determine reason for discrepancies
Communicate directly with payers to follow up on outstanding claims, file appeals, resolve payment variances, and ensure timely reimbursement
Maintain a thorough understanding of federal and state regulations, as well as payer specific requirements
Document activity accurately including contact names, addresses, phone numbers, and other pertinent information
Answer all incoming phone calls to the business line accepting payments, answering billing questions, assist patients with financial assistance
Process patients statements monthly per policy
Reviews all credit balances and processes as required by Medicare, Medicaid and all Third Party Payors

High School Diploma or GED-Specialty/Major: Preferred Education: 2 Year/ Associate Degree Specialty Major: Accounting, Finance or related
One year experience in medical collections or professional billing required
Must demonstrate basic computer knowledge, ability to use standard office equipment and basic MSOffice software
Problem solving skills related to account resolution
1-3 years of relevant experience in medical collections or professional billing preferred

Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)
Medical, dental, vision, prescription coverage, HAS/FSA options, life insurance, mental health resources and discounts
Paid time off, parental and FMLA leave, short
and long-term disability, backup care for children and elders
Tuition assistance, professional development and continuing education support

Accounts Receivable Specialist

Key skills