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AR Specialist
1 month ago
We are seeking a skilled Accounts Receivable Specialist to join our team at LHC Group. As a key member of our HCBS Division, you will play a crucial role in ensuring timely and accurate payment of medical claims.
About the RoleAs an Accounts Receivable Specialist, you will be responsible for conducting thorough research of claim status, identifying issues, and taking corrective measures to obtain payment and ensure accuracy of future claim submissions. You will work closely with payers to determine additional or supportive documentation needed to facilitate prompt payment and provide documentation in a timely manner.
Key Responsibilities- Conducts thorough research of claim status to identify issues and takes corrective measures to obtain payment and ensure accuracy of future claim submissions.
- Works closely with payers to determine additional or supportive documentation that may be needed to facilitate prompt payment and provide documentation in a timely manner.
- Researches insurance information to accurately determine benefits and ascertain primary or secondary status for Medicare and Medicaid.
- Works in coordination with service locations to obtain information needed for clean claim submission and additional follow-up documentation as needed.
- Conducts analysis of denials and partial payments to determine trends that may need to be addressed either in revenue cycle management, operationally, or with the payer.
- Resolves denial and payment issues with resubmission of claims and processing of appeals.
- Communicates effectively and frequently with supervisor regarding accounts.
- Completes special projects and other assignments deemed necessary.
- Ability to learn a variety of systems and maneuver through them daily, including electronic medical record systems, clearinghouse systems, and carrier systems.
- Excellent problem-solving skills and the ability to handle multiple tasks simultaneously.
- Ability to work independently and prioritize responsibilities daily in order to complete all assignments timely and accurately.
- Strong computer skills with advanced Microsoft Excel and Word knowledge and experience.
- Ability to work in a fast-paced, continuously changing environment.
- Ability to recognize road-blocks that may be causing slower reimbursement and work with management team to create solutions.
- Superior customer service and written/verbal communication skills.
- 2-4 years of medical billing and collections experience preferred.
We offer a competitive benefits package, including employee wellness programs, flexibility for true work-life balance, holidays & paid time off, continuing education & career growth opportunities, and company-wide support & resources to help you achieve your goals.
Take your career to a new level of caring. Apply today to join our team at LHC Group and contribute to our mission of providing exceptional care and service to our patients and communities.
