Medical Accounts Receivable Specialist
4 weeks ago
We are seeking a highly skilled Medical Accounts Receivable Specialist to join our team at Barbour Orthopaedics. The successful candidate will be responsible for communicating and collaborating with healthcare providers and legal professionals to request payment and payment status, as well as following up on unpaid medical insurance claims within standard billing cycle timeframe.
Key Responsibilities- Communicate and collaborate with healthcare providers and legal professionals to request payment and payment status
- Follow up on unpaid medical insurance claims within standard billing cycle timeframe
- Review and appeal denied or unpaid medical claims
- Generate and review statements for legal services related to healthcare billing
- Call patients for all non-responsive attorneys and schedule follow-up reminders
- Document actions in practice management system
- Collaborate with medical billing and coding staff to resolve discrepancies and ensure accurate billing records
- Prepare reports and analysis of accounts receivable status for management review
- Answer all attorney/patient inquiries pertaining to assigned accounts
- Carry out collection and reporting activities according to specific deadlines
- Collaborate with pods and Director to discuss account statuses/challenges and collection strategies on a periodic basis
- Maintain confidentiality of patient and legal information in accordance with HIPAA regulations and ethical standards
- Proven experience as a Medical Accounts Receivable Specialist or Legal Accounts Receivable Specialist, preferably in a healthcare setting
- Familiarity with medical and legal billing software (e.g., Nextgen) and proficiency in Modern IT software (e.g., Microsoft Office Suite, Excel, PowerPoint, Salesforce, Word)
- Strong understanding of medical billing processes, including CPT and ICD-10 coding, and legal billing practices
- Exceptional communication and interpersonal skills, with the ability to interact professionally with healthcare providers, legal professionals, and patients
- Excellent attention to detail and ability to maintain accuracy in billing records
- Customer service skills for interacting with attorneys and patients regarding payments
- Ability to work well in a team environment
- Being able to triage priorities and multi-task
- Strong organizational and time-management skills with the ability to prioritize tasks effectively
- Problem-solving skills to research and resolve discrepancies and collections
- A calm manner and patience working with patients and attorneys during the process
- Knowledge of legal terminology and procedures related to healthcare billing preferred
- Ability to understand the collection process - when to call attorneys, when to follow-up, how to confirm balances have been paid, how to obtain proof of payment from the attorney
- Maintaining patient confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA)
- A minimum of two (2) years' experience in healthcare billing/accounts receivable environment or related field, or any combination of education, training, or experience in a healthcare business office environment
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