About the role
- Collecting outstanding accounts receivable from third party payers; both government and commercial
- Contacting insurance companies for status on outstanding claims
- Processing and following up on appeals to insurance companies
- Refilling claims as needed
- Working correspondence daily
- Maintaining basic proficiency with using spreadsheets
- Auditing adjustment requests and completing when appropriate
- Resolving Manual Tasks assigned to AR for follow up
- Working outstanding Accounts Receivable from assigned work queues
- Meeting productivity standards as set by the department
- Maintaining accuracy rating of 97% or greater on audited accounts
- Maintaining strictest confidentiality
- Calling patients for payment or payment arrangements on outstanding balances
- Working to become a SME across multiple workflows and various payers
- All other duties assigned
Requirements
- Highschool graduate or equivalent
- Associate or bachelor’s degree in business administration or related field of study is preferred
- 1-3 years professional/healthcare preferred
- 1-3 years Accounts Receivable experience preferred
- Excellent verbal and written skills to maintain professionalism in all methods of communication
- Basic math skills for calculating anesthesia units, proper reimbursement, and percentages for appropriate adjustments
- Understanding of Medical terminology
- Advanced knowledge of insurance processing, guidelines, laws, and EOBs
- Knowledge of managed care, Medicare, and Medicaid guidelines
- Data entry skills with high accuracy
- Knowledge of CPT, ICD- 10 and ASA codes
- Good problem-solving skills
- Decision making ability with sound judgement
- Strong analytical skills and attention to detail
- Skill in gathering and reporting information
- Ability to work effectively with staff, physicians, and external customers
- Must have a pleasant disposition and high tolerance level
- Must be able to work as part of a team
- Ability to work independently with limited supervision
- Must be a self - motivator and goal oriented
- Skil ed in computer applications including MS Word, MS Excel, MS Outlook, and MS Teams.
- Communicate d well with the public.
- Health insurance
- 401(k) matching
- Paid time off
- Flexible working hours
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
Accounts ReceivableMedical terminologyInsurance processingCPT codesICD-10 codesASA codesData entryBasic math skillsAuditingAppeals processing
Soft skills
Verbal communicationWritten communicationProblem-solvingDecision makingAnalytical skillsAttention to detailTeamworkIndependenceSelf-motivationGoal orientation