Account Receivables Specialist

2 weeks ago


Austin, United States Psadocs Full time

Description Pain Specialists of America ("PSA") is a multisite Texas-based pain management company. The AR Specialist position requires a strong medical business office background, who is familiar with insurance companies to include government payors. The Specialist requires an in-depth knowledge of the revenue cycle process to include claims processing, payment posting, and accounts receivable follow-up. The qualified candidate must rely, in part, on experience and judgment to plan and accomplish goals as discussed with the Specialist’s manager. Benefits Offered: PTO Medical, Dental, Vision Insurance 401k w/company match contribution Short & Long-Term Disability HSA (w/company contribution), FSA Life Insurance (company paid + voluntary options) 11 Paid Holidays for the Year 2024 Employee Assistance Programs Duties/Responsibilities include but are not limited to: Effectively review and research claims denials and contact payers to verify detailed denial reasons when necessary Contact patients to obtain accurate insurance information. Prepare documentation and file reconsiderations and appeals as appropriate. Able to identify and communicate denial/rejection trends to management Able to identify and resolve discrepancies Navigate and research insurance policies & benefits for policy exclusions for patients. Navigate and research payer medical reimbursement policies and exclusions. Review and work all daily correspondence received from patients and payers. Understand and act on the timely filing guidelines associated with claims filing, reconsiderations, and appeals for assigned payers. Review accounts for accuracy (payments and adjustments) Knowledge of medical EOB’s, patient deductibles and co pays, and insurance or third-party correspondence Experience working with payer websites Experience in working aged AR EDI transactions/troubleshooting Other assigned duties Requirements eClinicalWorks experience is preferred Minimum of 2-4 years of medical billing, collections, and/or payment posting experience (Required) High school diploma or GED Candidate must exhibit excellent time management, organizational skills, and be computer literate. Ability to prioritize workload 10 Key – accuracy and proficiency Ability to work independently and adapt to a fast-changing environment Knowledge of Medicare, Medicaid, Medicaid MCO’s, and commercial insurance. Strong problem-solving and critical thinking skills Strong interpersonal and communications skills Must have ICD-10/CPT knowledge Adhere to all HIPAA guidelines/regulations

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