Accounts Receivable Specialist

Role Overview

• Ensure all claims are billed to insurance companies both accurately and timely.
• Ensure accurate entry of work into designated billing system.
• Review EOB’s to ensure appropriate payment and appeal any incorrect payments.
• Obtain all necessary information from patients and providers needed for proper billing.
• Manage accounts and make appropriate phone calls to the payers for status.
• Identify accounts that require follow-up.
• Resubmit claims as needed.
• Provide records or further direction to the payers/patients as needed.
• Showing up to work promptly and daily.
• Answering incoming calls and making outbound phone calls to patients, payers, and legal offices.
• Other Job related duties as assigned

Requirements

• 1+ years of direct electronic medical billing and collections experience
• Knowledge of excel
• Familiarity with ICD-10, CPT coding, and HCFA 1500 claim forms, as well as Texas payers.
• Experience with rejected claims, denials, and appeals
• Strong oral and written communication and interpersonal skills.
• Able to prioritize and multi task a large work volume with a high level of efficiency and attention to detail.
• Dependable and able to work independently.
• Shows up to work daily and is prompt.
• Prior Billing or collecting experience or experience working for a payer.
• Takes initiative and prioritizes aged A/R appropriately.
• Experience with ABA billing
• preferred
• Experience with writing denial letters