Medical Accounts Receivable Specialist
3 weeks ago
Responsibilities will include:
- Understanding Posting Process and Software
- Reviewing remittance advices (RAs) and explanation of benefits (EOBs) of assigned payors/accounts and contacting payors to resolve inappropriate denials/rejections
- Conducting daily telephone calls or accessing Payer/Insurance website to to inquire on status of claims
- Sending and receiving payor correspondence via mail, email and/or fax
- Monitoring and recording late payments
- Following-up on missed payments and resolving financial discrepancies
- Escalating individual problem accounts for timely resolution of a non-payment issue
- Maintaining complete, accurate and up-to-date account history
- Posting payments into the system
- Updating patients charts for payment / partial payment
- Re- processing medical claim denials to ensure accurate and timely payments
- Keeping track of outstanding payments, unresolved issues and follow up
- Generating and mailing out patient statements
- Assisting Front Desk with other duties
- Running weekly and monthly reports on outstanding charges
Qualifications include:
- Experience in medical billing in a healthcare setting, experience with commercial, managed care, Medicaid, and Medicare providers
- Excellent analytical, organizational, and communication skills
- Ability to work accurately and efficiently while maintaining strong customer service skills
- Proficiency with medical billing software. Experience with EZClaim is a plus
- Proficiency with Pear Portal, Avality, Novitasphere and other portals, sending claims for investigations, downloading EOBs, etc.
- Being very organized, accurate, dependable, punctual, detail and results oriented
- Ability to follow through to a timely, successful issues resolution
- If you are a detail-oriented individual with a strong background in medical billing AR, we encourage you to apply.
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