Herself Health

Accounts Receivable

• Initiate AR follow-up of all unpaid or denied claims with the appropriate Payer or Patient
• Resolve delinquent accounts in a timely manner by proactively working outstanding accounts
• Obtains missing claim information to ensure prompt payment
• Research, appeal and resolve claim rejections/denials with the appropriate Payer
• Respond to written Payer communications as indicated with appropriate action in a timely manner
• Respond to calls and/or emails from patients regarding billing questions/issues
• Update insurance and/or patient demographic information in the practice management system as required during follow up process
• Communicate payment or denial patterns that impact revenue to management in a timely manner
• Document daily in the practice management system all follow up and communication on a patient account in a consistent and concise format
• Processes adjustments when appropriate and in accordance with policies
• Maintain knowledge of mental health billing, department policies and procedures
• Develop and maintain positive working relationships with cross-functional teams, teammates and Payor representatives and other key stakeholders
• Consistently meet or exceed the department productivity and quality standards and performance requirements
• Collaborate as needed to identify and resolve underpayments and overpayments
• Mentors, trains, educates, and supports Team to facilitate and increase their ability to perform
• Create training materials and policies as needed
• Help maintain credentialing accuracy and updates
• Other duties and responsibilities as assigned

Account Receivable Specialist, Part-Time