Accounts Receivable Specialist
4 weeks ago
JOB FUNCTIONS
- The primary responsibility of the AR Specialist is to actively work assigned clients accounts receivable, and rapidly respond telephone inquiries from patients.
- Works and coordinates with RCM to ensure smooth and efficient operation in all areas of accounts receivable
- Works necessary reports to ensure assigned client AR is actively worked & maintained
- Serves as client/patient support to assigned clients
- ACCOUNTS RECEIVABLE RESPONSIBILITIES
- Works Denials Daily
- File Rejected
- Denial Report
- In Progress Non-Primary
- Sent Secondary Crossover
- Works Denials Daily
- Review Bad Address report weekly
- Update patients address in Centricity when report provides updated information
- Those without new information, send list to practice contact with MRN # advise mail being returned need update, or log-in to EMR, any changes or updates then made to the patients account in Centricity.
- Bill Status Report Hold Charges
- Reviews charges on hold weekly, and coordinates with charge processor to ensure timely release of charges to avoid untimely filing
- CLAIM SUBMISSIONS/CORRECTIONS
- Will review, prepare, and submit claims to third party payers (primary and secondary) according to established policies and procedures
- DEMOGRAPHICS
- Will retrieve, review, verify benefits, and update new insurance information as needed
- Move demographic files to GeBBs daily for assigned clients
- Sign-off on Daily Client Charge Log for demographics;
- Sign-off on Month-end Log by 5th business day of the month
- CORRESPONDENCE
- Receives and processes miscellaneous correspondence from patients, insurance companies and clients within 48 hours
- Accounts Receivable follow-up
- Pulls EOB's
- REFUNDS
- Will actively review, prepare submit;
- Refund requests
- Account adjustments
- Will actively review, prepare submit;
- COLLECTIONS
- INSURANCE COLLECTIONS
- Run Stop report monthly. The STOP report is used to identify, and facilitate successful collection of both patient and unpaid insurance claims upon completion of patients course of treatment
- Identify unpaid claims, and set reminders to actively work to a successful conclusion
- Monitor patient balances, and actively move through collections process including setup payment arrangements
- AGING REPORTS/COLLECTION EFFORTS EXHAUSTED
- Aging by Financial Class, Patient
- And any other reports identified to assist in this process by RCM
- PATIENT COLLECTIONS:
- Will review, prepare and submit patient supplemental bills to patient(s)
- Assist with payment arrangements
- Identify Self-pay patients for assigned clients;
- verify monthly eligibility with Medicaid
- follow-up with practice charity status
- Assists in processing credit card payments from patients
- Maintain current list of medical policies for the various procedures, and or diagnosis covered by those entities
- Ensure all corporate guidelines are maintained and practiced daily
- Maintain a "Team Player" attitude at all times
- Communicate professionally with management, Offshore, and peers
- Report Denial Trends to RCM
- Attend AMAC-USA Webinars
- Knowledge of reading and understand an EOB
- Other projects as assigned
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