Billing and Collections Analyst

2 weeks ago


Atlanta, Georgia, United States PT Solutions Full time

Position Overview: The Accounts Receivable Coordinator plays a vital role in the financial operations of PT Solutions by managing the revenue cycle effectively, focusing on the collection of outstanding debts from patients and insurance providers.

Key Responsibilities:

  • Utilize A/R reports to manage aged receivables efficiently.
  • Analyze adjudicated claims to ensure timely and accurate payment of outstanding amounts.
  • Investigate, rectify, and resubmit unpaid claims as required.
  • Confirm the accuracy of account balances through thorough research and review of payment postings.
  • Identify liabilities with guarantors and ensure timely transfer of balances.
  • Interpret and review Explanation of Benefits (EOB) for any denials or underpayments.
  • Resolve issues related to denials and underpayments in collaboration with insurance carriers.
  • Timely submission of appeals and reconsideration requests to carriers.
  • Process insurance refund requests in accordance with established policies.
  • Achieve productivity targets as set by the Billing Manager.
  • Act as the primary point of contact for payer inquiries and assist with patient inquiries as needed.
  • Maintain confidentiality of sensitive patient information.
  • Collaborate effectively with Coding, Billing, Front Desk, and other departments as necessary.

Qualifications:

  • Typing speed of 60 words per minute is preferred.
  • Exceptional customer service abilities.
  • Strong interpersonal, verbal, and written communication skills.
  • Excellent organizational skills with the ability to prioritize tasks effectively.
  • Comprehensive understanding of medical reimbursement processes and terminology.
  • Proficient in the use of standard office equipment.


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