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Medical Group Accounts Receivable Specialist
2 months ago
This position provides day-to-day support as a Medical Group Accounts Receivable Specialist. The role focuses on accounts receivable follow-up and is responsible for performing third-party insurance follow-up in the Central Billing Office.
Key Responsibilities- Perform insurance follow-up of outstanding accounts receivable for all payers in the NextGen application.
- Quality measures will be assessed by the following criteria: all outstanding invoices are processed, all actions taken are documented via NextGen worklog and encounter comments with a high degree of specificity, appropriate actions taken (i.e. update registration; obtain records; contact clinical practice), ticklers are set and timely updates are provided.
- Work is assigned on an accounts-receivable report by payer or other listing, communications from the Customer Service Team, as well as via individual EOBs with denials or other payer communication.
- Proactively identifies trends and offers solutions to recurring denials or payer nonpayment.
- Participates in any required accuracy audit and review process.
- Works in concert with other CBO employees as assigned by the Director.
- Participates in educational activities.
- Maintains strictest confidentiality and is knowledgeable and conforms to all HIPAA requirements and company HIPAA policies.
Regal Medical Group offers a comprehensive benefits package, including:
- Employer-paid comprehensive medical, pharmacy, and dental for employees.
- Vision insurance.
- Zero co-payments for employed physician office visits.
- Flexible Spending Account (FSA).
- Employer-Paid Life Insurance.
- Employee Assistance Program (EAP).
- Behavioral Health Services.
To be considered for this position, applicants must have:
- 3+ years of billing or collections experience.
- Knowledge of insurance company operating procedures and practices.
- Excellent understanding of collections and payment posting as well as familiarity with medical reimbursement.
- Knowledge of governmental legal and regulatory provisions related to collection activities.
- Previous working knowledge of NextGen platform highly preferred.
