Patient Self-Pay AR Specialist
1 week ago
*This is not a fully remote position - you must be able to commute and report to our Mount Laurel office. Semi-remote work may be available after the successful completion of a 90 day introductory period.Acentus is currently seeking an Accounts Receivable (AR) Specialist focusing on Self Pay to join our team As a Self-Pay Specialist at Acentus, you will report directly to an AR Manager and work alongside AR and Self-Pay Specialists on the Eligibility AR and AR teams: Commercial Payors, Managed Medicare & Medicaid Payors, Horizon Payors, Government Payors, and Specialty Payors. You will also coordinate with a variety of external groups to ensure cohesive and efficient billing practices. The ideal Self-Pay Specialist maintains a positive attitude, is self-motivated and detail-oriented, and has excellent problem-solving skills which allow the delivery on on-time results to ensure the success of individuals and the organization.In this position, you will be responsible for a variety of revenue related billing activities requiring data research and analysis, time management, self-motivation, and teamwork. Proactive and clear written and verbal communication skills are essential as communicating with internal and external parties is a large part of this role. Self-Pay Specialists act as a billing system super-user, perform simple to complex billing functions, and demonstrate an understanding of all business lines as they relate to the role's responsibilities. You will be responsible for managing the daily operations of patient self-pay billing, including daily resolution of Epic self-pay workqueues, working with our self-pay vendor partner, and addressing routine patient complaints. As a Self-Pay Specialist, you will also be expected to monitor your team's payor's financial performance, verify patient insurance, manage system edits, identify and report trends, and propose ways to reduce and prevent denials.Responsibilities and DutiesA qualified and dedicated AR Representative will:Achieve high patient satisfaction by handling complaints in a timely and professional mannerHandle patient phone calls as needed to address billing related questions and concernsMonitor self-pay volumes and track progress by reducing patient ARReview high dollar patient balances to ensure correct processing before transferring to self-pay vendorMeet productivity standards and minimum requirement of >60 accounts per dayAchieve high client satisfaction by building relationships with management and maintaining excellent teamworkActively participates in team meetings by bringing examples for discussion and engaging with colleagues on troubleshooting effortsPartner with front-end practices to identify and eliminate self-pay issue root causesResponsible for Epic workqueues such as statement edit Intervention, self-pay discount processing, self-pay with open insurance, self-pay with open credits, and patient complaintsReport denial trends to managementProvide timely, accurate, and professional responses to internal, patient, and third party inquiriesResearch and resolve simple to complex issues and escalate issues to managementResearch no response claims and report root cause to managementWork with billing managers to resolve and prevent coding denialsMaintain and submit a detailed issues log to his/her manager to identify practice and/or payer trendsReport needed system updates to managerResearch payer policies and insurance eligibility changes and communicate changes to key personnelWork special payor projects as assignedQualifications and SkillsSuccessful candidates will possess the following qualifications and skills:Bachelor's degree preferred, HS diploma/GED requiredMinimum of 2 years' of experience in professional medical billing or similar roleAbility to troubleshoot and problem solve in a healthcare settingKnowledge of CPT and ICD-10 codingProficient understanding of HIPAA compliance practicesPrior experience utilizing billing systems and electronic medical records (EPIC preferred)Proficient knowledge and a working understanding of Microsoft Excel and WordKnowledge of and experience using payer tools (e.g. Navinet, etc.)Excellent research abilities, attention to detail, and communication skillsOutstanding problem-solving and organizational abilitiesSelf-motivation, including multitasking and time managementPositive attitude and team playerCompany OverviewFounded in 2017 and focused on quality, Acentus Practice Management, LLC. (Acentus) is a growing full-service Revenue Cycle Management (RCM) company. Acentus provides customized solutions and real results for local Physician Groups and Ambulatory Surgical Centers. Following the Acentus values of professionalism, compliance, integrity, and respect allows our organization to reduce claim errors, ensure timely claim payments, and increase claim reimbursement.Acentus offers a fast-paced and dynamic work environment that focuses on teamwork, quality, efficiency, and customer service. At Acentus, we value diversity and respect and reward employees for outstanding performance through employee of the month recognition and bi-annual bonuses. There is always opportunity for growth and our friendly and supportive leadership will help you thrive in your career. In addition, we offer a variety of comprehensive benefits, ongoing training, and flexible work schedules. Visit to learn more.Job Type: Full-timePay: $ $22.00 per hourExpected hours: 40 per weekBenefits:401(k)401(k) matchingDental insuranceEmployee assistance programFlexible scheduleFlexible spending accountHealth insuranceLife insurancePaid time offVision insuranceEducation:High school or equivalent (Required)Experience:Customer service: 2 years (Preferred)Professional Medical Billing: 2 years (Preferred)Insurance verification: 2 years (Preferred)Ability to Commute:Mount Laurel, NJ Required)Work Location: Hybrid remote in Mount Laurel, NJ 08054
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