Accounts Receivable Specialist
4 weeks ago
Job Title:
Accounts Receivable Specialist - Full Time
Location:
In Office
Pay:
Hourly $18.
Competitive Benefits:
Medical, Dental, Vision, STD, LTD, HSA (as applicable with Employer contribution), 401k Plan with employer match.
Pinnacle Healthcare Revenue Solutions (PHRS) is a full Revenue Cycle Management (RCM) company focused on professional billing for independent physician practices.
Our RCM services incorporate numerous operational efficiencies to capture patient demographics, health status, visit notes, and billing information to provide these critical daily functions in support of each practice.
Our management team provides a strategic partnership with our client practices to ensure compliance with all regulatory standards, produce summary reports of all activity; document production and revenue trends; and recommend changes in policy and procedure to create efficient and effective business operations.
This candidate will continuously interact with physicians, patients and insurance vendors to investigate outstanding claims and incomplete payments.
This position will also be responsible for providing first level customer support for billing services which includes answering phones and researching patient account issues.
Additionally, this position is responsible for completing patient billing and investigating daily denials by working with insurance vendors and adjusters to resolve problem accounts and re-file open claims.
Associates Degree or higher in Medical Billing and Coding or a related field is preferred.
A degree is not required if candidate has at least 2 years of prior billing experience in a physician practice medical billing environment.
Minimum 2 years of experience in medical billing or has graduated from an accredited medical college.
Experience in billing or health insurance claim processing preferred.
CPT, ICD-9, and HCPCS coding knowledge preferred.
Required to stay until 6:00 PM EST approximately one time every six weeks, in rotation, with other AR Specialists in order to cover customer service lines.
Knowledge of business office procedures
Ability to establish and maintain an effective working relationships with patients, physicians, client practice staff, and co-workers.
Ability to operate a computer, copier or fax machine
Ability to sort and file materials correctly by alphabetic or numeric systems.
Knowledge of Microsoft Office Products.
Experience in one or more of the following billing software platforms is preferred - EPIC; Acumen-Epic; Identify errors through coding, charge entry and cash application processes.
Complete daily denials by working with insurance companies and adjusters to resolve problem accounts, re-file and re-open claims, file appeals and make decisions on adjustments.
Investigate and work claims based on aging from date of service
Provide first level customer service support for billing services including answering patient's questions and researching account issues.
Document activity in an accurate and timely manner on the patient's account.
Review and prepare accounts for collections.
Ensure compliance with all state and federal billing regulations, including HIPAA, and report any suspected compliance issues to the respective Manager or RCM leadership.
In office position, with flexibility as to arrival/departure times
Remote work option available
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