Accounts Receivable Specialist
4 weeks ago
We are seeking a highly skilled Accounts Receivable Specialist to join our team at Goldson Spine Rehabilitation Center. The successful candidate will be responsible for ensuring timely payment of outstanding invoices, minimizing bad debt, and managing collections activities while maintaining positive relationships with customers.
Key Responsibilities- Evaluate existing procedures and develop new ones to enhance efficiency
- Act as a representative for the billing department during deposition sessions as required
- Gather and present weekly, monthly, and quarterly reporting data for the AR department
- Openly and consistently communicate any irregularities, trends, or concerns to management
- Continually follow up with management and other departments to ensure efficient processing
- Develop and maintain relationships with carriers to track and target aging accounts to meet performance standards
- Complete cash logs as required
- Review A/R balances to ensure timely and accurate payments are received
- Provide written correspondence to audit requests to include investigation and obtaining of appropriate documentation to be attached to the response
- Document the status of billing and payment process in patient account for future follow-up
- Keep current on payer requirements via research and coaching to ensure guidelines and procedures are being met for each payer
- Review and understand correspondence received from third-party payers including remittance advice, Explanation of Benefits, denial letters, etc.
- Investigate payment denials, identify the reasons behind them, and resolve the issues with the payer or patient to rectify the situation
- Minimum of five (5) years of medical insurance/healthcare billing and collections experience with a deep understanding of medical billing rules and regulations
- ICD-10: 2 years (Preferred)
- Accounts receivable: 3 years (Preferred)
- Strong working knowledge of CPT and ICD10 codes and procedural modifiers, claim forms, HIPAA, billing and insurance regulations, medical terminology, insurance benefits, and appeal processes
- Certified Coder is a plus
- Ability to clearly and professionally communicate with customers and team members
- Ability to negotiate payment arrangements and terms with customers while balancing the company's interests
- Ability to identify and resolve payment issues, discrepancies, and disputes in a timely manner
- Ability to pay attention to Detail
- Customer Service Orientation
- Proficiency in using accounting software, customer relationship management (CRM) systems, and other systems as needed
- Ability to adapt to changing business environments, customer needs, and collections strategies
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