AR Collection Specialist

4 weeks ago

Allentown, United States Eastern PA Gastroenterology & Liver Specialists Full time

Our Team

Our employees make a difference in the lives of our patients and our community. We've built a culture of excellence based on compassion, care and collaboration. At EPGI, our goal is for an inclusive and engaging employee experience where people feel they belong and their work matters. We offer competitive pay to motivate and retain the best talent, and a full range of benefits to our employees.

Our Practice

Whether a patient is experiencing GI symptoms for the first time, or have been previously diagnosed with a disease of the digestive system, Eastern Pennsylvania Gastroenterology and Liver Specialists (EPGI) and our highly trained, board-certified physicians and staff are able to address our patient needs with the most up to date treatment options and perform the most state-of-the-art procedures with compassion and care.

Our practice is currently seeking a full-time A/R Collection Specialist to join our team

Job Title: A/R Collection Specialist

Department: Billing

Immediate Supervisor Title: Billing Manager

General Summary: A position responsible for reducing delinquency for assigned accounts. This position's primary focus will be on Medical Insurance collections. This position will provide customer service regarding collection issues, process and review account adjustments, and resolve patient discrepancies. This person is responsible for performing established financial processes that enable and expedite medical insurance billing and collections. This includes (but not limited to) billing claims according to Federal/State regulations, compliance of governing agencies, patient account research & resolution, identification of reimbursement issues, resolution of credits & issuance of refunds, follow up and resolution of denied claims.

Essential Job Responsibilities:

  • Responsible for patient collections process
  • Monitor and utilize AR reports to target aged balances for collection.
  • Online claims follow up and appeal on Navinet, Availity, Pear, Novatisphere, UHC, Cigna, etc.
  • Demonstrate high level of time management and efficiency.
  • Update billing system consistently to reflect collection process and communications.
  • Analyzing and resolving billing errors that are delaying insurance payments.
  • Provide excellent & considerate customer service to patients.
  • Meet defined department goals and activity metrics.
  • Alert management of irregularities, payer trends and other areas of concern.

Education: High school diploma/GED

Experience: Experience in medical collection activities, follow up, work and appeal insurance denials, billing, and coding.

Performance Requirements:


Knowledge:

  1. Working knowledge of cash management principles and/or procedures.
  2. Working knowledge of health care billing procedures, documentation and standards.
  3. Working knowledge of appropriate billing and payment cycles for medical accounts.
  4. Experience in electronic medical records required.
  5. Experience with Microsoft Word and Excel required.
  6. Knowledge in medical terminology, CPT, ICD-10 AND HCPCS coding.

Skills:

  1. Proficient in use of medical practice management system and software utilized in the practice.
  2. Skill in computer and spreadsheet applications.
  3. Skill in effective oral and written communication.
  4. Ability to deal with problems involving several concrete variables in standardized situations.
  5. Ability to apply common sense understanding to carry out instructions furnished in written, oral or diagram form.
  6. Ability to calculate figures and amounts such as copayments, deductibles, etc.

Abilities:

  1. Strong interpersonal and communication skills with an ability to work effectively with insurance companies, patients, physicians, managers and other staff.
  2. Ability to prioritize and manage multiple responsibilities.

Equipment Operated:

Standard office equipment with emphasis on computer hardware and software as well as telephone use.

Work Environment:

In-Office setting, well lighted, good air quality. The noise level in the work environment is usually moderate.

Mental/Physical Requirements:

Mostly sedentary with some standing, walking, reaching.



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