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AR Specialist

4 months ago

Sacramento, United States Dialysis Clinic, Inc. Full time
Overview

Dialysis Clinic, Inc. is recruiting top talent interested in supporting our nonprofit mission to prioritize individualized care for patients facing chronic kidney disease. Our mission states “the care of the patient is our reason for existence,” and our dedicated team embodies our sole purpose during every patient interaction. We seek motivated, compassionate individuals to provide top-notch patient care and offer paid training, competitive pay, outstanding benefits, Sundays off and a strong culture. Join DCI today to build relationships and gain fulfillment serving individuals in our comfortable clinical setting with a lower caregiver-to-patient ratio than other providers.

The AR Specialist will provide continual and accurate documentation regarding eligibility, authorization, and other insurance coverage information for assigned patients by staying in contact with clinical staff and social workers, calling insurance companies and providing online verification. Responsible for reviewing all primary payments and denials for accuracy as well as sending out initial claims, corrected claims and appeals.

Starting pay: $23.00/hr.

 

This position is for the California / NM region.

Benefits:

  • Paid 12-week training with preceptor
  • Comprehensive medical, dental and vision benefits
  • Life and long-term care insurance provided at no additional expense to employee
  • Paid time off (PTO) including holidays
  • Extended Sick Bank (ESB) in addition to PTO – paid time for doctor appointments, sickness or medical leave
  • Retirement plans with $.50 of each contributed dollar matched for eligible employees, up to 8 percent
  • Education reimbursement
  • Employee assistance program
  • Wellness program
  • Among others



Responsibilities

What You Can Expect:

  • Review patient’s insurance coverage upon admission to determine coordination of benefits, eligibility, and other factors.
  • Obtain and enter any authorizations for new patients that have coverage that requires it, as well as follow up on any expired authorizations/referrals for assigned clinics.
  • Review remits, accounts, and other correspondence to determine patient responsibilities for billing purposes.
  • Maintain records of patient billing cycle for each clinic to ensure all billing is completed according to policy and procedure.
  • Properly document all follow up and steps taken in electronic system to ensure accounts are being followed up on and in a timely manner.
  • Conduct month end processes and close clinics by reconciling treatment totals, reviewing monthly charges, resolving discrepancies, and reviewing other monthly reports.
  • Review, enter, and coordinate updating current NDC codes being used at designated clinics.
  • Ensure all claims go to payers via electronic clearing house, keying into portals, etc. once all charges have accurately been recorded onto the patient accounts.
  • Review contracts both original and system loaded and coordinates with internal departments to ensure appropriate billing system resolutions.
  • Review Medicare and other primary payments to ascertain which accounts need to have secondary claims submitted to other payers.
  • Review correspondence and remits via cash management system to identify incorrect payments, inappropriate denials, or complete required adjustments. Follow up on incorrect postings, incorrect payments and/or denials, and complete work to resolve account.
  • Contact insurance companies via telephone call to determine steps on accounts that require follow up due to lack of payment or incorrect reimbursement.