Accounts Receivable Operations Specialist

4 days ago

Englewood, Colorado, United States US Anesthesia Partners Full time
Accounts Receivable Specialist Job Description

Overview:


The Accounts Receivable Specialist plays a crucial role in managing the medical office's revenue cycle. This position involves ensuring accurate billing, timely collections, and effective communication with patients and insurance companies. The specialist will work primarily from a remote location but may be required to perform certain duties in the office on an as-needed basis.

Key Responsibilities:
  • Perform advanced-level work related to denial management.
  • Refine claims as necessary.
  • Maintain proficiency with using spreadsheets.
  • Resolve manual tasks assigned to AR for follow-up.
  • Work outstanding accounts receivable from assigned projects.
  • Meet productivity standards set by the department.
  • Maintain an accuracy rating of 97% or greater on audited accounts.
  • Maintain confidentiality.
  • Review payor communications related to changes in medical policies.
  • Identify opportunities for and actively participate in process improvement initiatives.
  • Coordinate all incoming mail for Accounts Receivable.
  • Print and mail prepared appeal packets.
  • Print and mail paper claims.
  • Receive and route incoming faxes.
  • Perform other duties as assigned.
Qualifications:
  • Excellent verbal and written communication skills to maintain professionalism in all methods of communication.
  • Basic math skills for calculating anesthesia units, proper reimbursement, and percentages for adjustments.
  • Medical terminology knowledge.
  • Advanced knowledge of insurance processing, guidelines, laws, and EOBs.
  • Knowledge of managed care, Medicare, and Medicaid guidelines.
  • Data entry skills with high accuracy.
  • Knowledge of CPT, ICD-10, and ASA codes.
  • Good problem-solving skills.
  • Strong analytical skills and attention to detail.
  • Ability to work effectively with staff, physicians, and external customers.
  • Pleasant disposition and high tolerance level.
  • Ability to work as part of a team.
  • Ability to work independently with limited supervision.
  • Self-motivation and goal-oriented.
  • Proficiency in computer applications including MS Word, MS Excel, MS Outlook, and MS Teams.
  • Effective communication with the public.
Education/Training/Experience:
  • High school graduate or equivalent.
  • Associate or bachelor's degree in business administration or a related field of study is preferred.
  • Accounts Receivable experience is preferred.
Physical Requirements:
  • Prolonged sitting, some bending, stooping, and stretching.
  • Sufficient eye-hand coordination and manual dexterity to operate a keyboard, photocopier, telephone, calculator, and other office equipment.
  • Normal range of hearing and eyesight to record, prepare, and communicate appropriate reports and evaluations.
  • Lifting papers and boxes weighing up to 35 pounds occasionally.
  • Typing at least 50 wpm.
Working Conditions:
  • Work performed in an office environment.
  • Frequent contact with professional staff and managed care organizations.
  • Work may be stressful at times.
  • Interaction with others is frequent and often disruptive.

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