Account Receivables Specialist
2 weeks ago
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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