Medical Billing

5 months ago


Mount Juliet, United States Center for Spine, Joint, Neuromusuclar Rehabilitation Full time
Job DescriptionJob DescriptionSalary:

The Accounts Receivable (“AR”) Specialist is responsible for payer follow-up on claims. An AR Specialist must comply with applicable billing standards and be able to operate in a team-oriented environment that strives to provide superior service.

Essential Functions and Tasks:

  • Follow up on all claims to ensure appropriate reimbursement for our clients.
  • Process assigned AR work.

Post electronic and manual insurance payments. 

  • Develop plan to complete work lists by assigned due date.
  • Call plans on work lists for claim status.
  • Reviews accounts to determine appropriate follow-up action.
  • File appeals on claim denials and underpayments as appropriate.
  • Reports address and/or filing rule changes to the manager.
  • Check system for missing payments.
  • Properly notates patient accounts.
  • Review each piece of correspondence to determine specific problems.
  • Research patient accounts and give estimates on upcoming procedures.
  • Take appropriate actions (adjustments, letters, phone insurance, etc.).
  • Scan correspondence and index to the proper account.
  • Respond to insurance company claim inquiries.
  • Meets daily production goals.
  • Other duties as assigned.

Qualifications • High School Diploma or GED. • One year in data entry field. • One year in medical billing, anesthesia preferred. • Intermediate level knowledge of medical billing rules, such as coordination of benefits, modifiers, Medicare and Medicaid and understanding of EOBs. • Must be able to prioritize and accomplish objectives in a timely fashion.



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