Medical Accounts Receivable Specialist
Family Allergy & Asthma
full-time
Posted on:
Location Type: Hybrid
Location: Louisville • Kentucky • United States
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About the role
- The Medical Accounts Receivable Specialist is responsible for demonstrating knowledge and application of job duties within scope of practice
- Functions under the direction of the manager(s) and/or Director(s)
- Respectfully interacts with all levels of staff
- Provides assistance, as needed, during assigned duty hours
- Participates in department activities
- Promotes independence; adherence to the attendance policy; encourages socialization; advocates for the quality of life of our patients while maintaining compliance with all applicable laws, regulatory and organizational standards; supports the company’s core values.
- Understands and has experience with multiple carrier types (Medicare, Medicaid, Dual, Commercial, Managed Care and Advantage plans) in multiple states
- Research and investigate denied or no response claims to confirm reason for denial and best method of recovery
- Reviews payer policies and guidelines to support reconsiderations and appeals where needed
- Identifies trends and notifies leads and manager immediately to establish plan of action
- Submits corrected claims, reconsiderations and appeals via portal, fax or secure email using mail as last resort
- Thoroughly documents research done and action take on each claim in IMS
- Follows SOPs
- Proficient in Excel
- Proficient in Availity Essentials
- Communicates with other departments via shared spreadsheets and conducts regular followups on cross communication
Requirements
- High School Diploma
- Minimum 2 years of recent AR experience in a healthcare setting
- Proficient with Microsoft applications
- EMR experience – 2 years
- Proficient in denial management
- Experience working Commercial, Medicare and Medicaid plans
- Experience working in fast-paced, high volume, multi-provider practice
- Understanding of Revenue Cycle including admission, billing, payments, and denials
Benefits
- Hybrid schedule 📊 Check your resume score for this job Improve your chances of getting an interview by checking your resume score before you apply. Check Resume Score
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
accounts receivabledenial managementrevenue cyclebillingpaymentsclaims submissionclaims researchSOPsExcelEMR
Soft Skills
communicationinterpersonal skillsorganizational skillsadvocacyproblem-solvingattention to detailindependenceteam collaborationadaptabilitycustomer service
Certifications
High School Diploma