Account Receivables Specialist

1 month ago


Austin, United States Pain Specialists of America LLC Full time
Job DescriptionJob DescriptionDescription:

Pain Specialists of America ("PSA") is a multisite Texas-based pain management company. The AR Specialist position requires a strong medical business office background, who is familiar with insurance companies to include government payors. The Specialist requires an in-depth knowledge of the revenue cycle process to include claims processing, payment posting, and accounts receivable follow-up. The qualified candidate must rely, in part, on experience and judgment to plan and accomplish goals as discussed with the Specialist’s manager.


Benefits Offered:

PTO

Medical, Dental, Vision Insurance

401k w/company match contribution

Short & Long-Term Disability

HSA (w/company contribution), FSA

Life Insurance (company paid + voluntary options)

11 Paid Holidays for the Year 2024

Employee Assistance Programs


Duties/Responsibilities include but are not limited to:

  • Effectively review and research claims denials and contact payers to verify detailed denial reasons when necessary
  • Contact patients to obtain accurate insurance information.
  • Prepare documentation and file reconsiderations and appeals as appropriate.
  • Able to identify and communicate denial/rejection trends to management
  • Able to identify and resolve discrepancies
  • Navigate and research insurance policies & benefits for policy exclusions for patients.
  • Navigate and research payer medical reimbursement policies and exclusions.
  • Review and work all daily correspondence received from patients and payers.
  • Understand and act on the timely filing guidelines associated with claims filing, reconsiderations, and appeals for assigned payers.
  • Review accounts for accuracy (payments and adjustments)
  • Knowledge of medical EOB’s, patient deductibles and co pays, and insurance or third-party correspondence
  • Experience working with payer websites
  • Experience in working aged AR
  • EDI transactions/troubleshooting
  • Other assigned duties


Requirements:
  • eClinicalWorks experience is preferred
  • Minimum of 2-4 years of medical billing, collections, and/or payment posting experience (Required)
  • High school diploma or GED
  • Candidate must exhibit excellent time management, organizational skills, and be computer literate.
  • Ability to prioritize workload
  • 10 Key – accuracy and proficiency
  • Ability to work independently and adapt to a fast-changing environment
  • Knowledge of Medicare, Medicaid, Medicaid MCO’s, and commercial insurance.
  • Strong problem-solving and critical thinking skills
  • Strong interpersonal and communications skills
  • Must have ICD-10/CPT knowledge
  • Adhere to all HIPAA guidelines/regulations


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