Accounts Receivable Specialist, Physicians
Ensemble Health Partners
Accounts Receivable Specialist
Ensemble Health Partners
full-time
Posted on:
Origin: • 🇺🇸 United States
Visit company websiteSalary
💰 $17 - $18 per hour
Job Level
Junior
About the role
- Examines denied and other non-paid claims to determine the reason for discrepancies\n
- Communicates directly with payers to follow up on outstanding claims, files technical and clinical appeals, resolves payment variances, and ensures timely and accurate reimbursement\n
- Identifies specific reasons for underpayments, denials, and causes of payment delay\n
- Works with management to identify, trend, and address root causes of issues in the A/R\n
- Maintains a thorough understanding of federal and state regulations, as well as payer specific requirements and takes appropriate action accordingly\n
- Documents all activity accurately including contact names, addresses, phone numbers, and other pertinent information in the client’s host system and/or appropriate tracking system\n
- Demonstrates initiative and resourcefulness by making recommendations and communicating trends and issues to management\n
- Needs to be a strong problem solver and critical thinker to resolve accounts\n
- Must have basic computer knowledge and demonstrate proficiency in Microsoft Excel\n
- Excellent Verbal skills\n
- Problem solving skills, the ability to look at accounts and determine a plan of action for collection\n
- Critical thinking skills, the ability to comprehend tools provided for securing payment, and apply them to differing accounts to result in payment\n
- Adaptability to changing procedures and growing environment\n
- Meet quality and productivity standards within timelines set forth in policies\n
- Meet required attendance policies
Requirements
- 2 or 4-year college degree\n
- 1 or more years of relevant experience in medical collections, physician/hospital operations, AR Follow-up, denials & appeals, compliance, provider relations or professional billing preferred\n
- Knowledge of claims review and analysis\n
- Working knowledge of revenue cycle\n
- Experience with the DDE Medicare system and payer websites to investigate claim statuses\n
- Working knowledge of medical terminology and/or insurance claim terminology\n
- Basic computer knowledge and proficiency in Microsoft Excel\n
- Excellent verbal skills\n
- Problem solving skills and the ability to plan action for collection\n
- Critical thinking skills and the ability to apply tools to different accounts\n
- Adaptability to changing procedures and growing environment\n
- Meet quality and productivity standards within timelines set forth in policies\n
- Meet required attendance policies
