Senior Patient Accounting Specialist
INTEGRIS Health
Accounts Receivable Specialist
House + Home Loans
full-time
Posted on:
Origin: • 🇺🇸 United States • Arizona
Visit company websiteJob Level
Mid-LevelSenior
About the role
- Contact insurance carriers on a daily basis to follow up on/collect past due amounts on outstanding medical claims regarding denials or benefit changes
- Maintain an accurate, up to date aging of assigned accounts including AR analysis and follow up
- Keep educated on billing and medical policies for all payers; work knowledge of In and Out of Network reimbursement processes/methodologies
- Create and follow up on appeals needed to protest denials or incorrect payments
- Review complex denials/tasks assigned by the payment posting team and resolve accordingly including reviewing refund requests, disputes and appeal as necessary
- Work across all RCM departments to get issues related to claims payment resolved
- Work with AR Supervisor to review/resolve open accounts as assigned
- Uphold and ensure compliance with company policies and procedures as well as state and federal regulations; perform other duties as assigned
Requirements
- High School Diploma or GED
- 3 years of experience managing Accounts Receivable and performing direct follow up with payers
- 1 year experience communicating effectively, both orally and in writing, with insurance payers and internal company communications
- 3 years working with medical terminology, ICD10, CPT, HCPCs coding and HIPAA requirements
- 2 years of experience with data processing and analytical skills; proficiency in Excel and Microsoft Office Suite; experience with medical practice management software and electronic medical records
- 3 years of experience working with commercial, government and state insurance payers and their reimbursement policies and procedures
- 3 years' experience working complex insurance issues, including assigning correct payer, EOB adjustments and refunds to accounts
- Ability to utilize computers for data entry, research and information retrieval
- Strong attention to detail, multitasking, and problem-solving skills
- High level of skill at building relationships and providing excellent customer service
- Maintain regular and predictable attendance
