AR Specialist – Medical Billing
Job Description:
• Performs all duties and responsibilities in accordance with local, state, and federal regulations and company policies
• Utilize and apply industry knowledge to resolve new and aged accounts receivables by working various account types
• Leverage available resources and systems to analyze patient accounting information and take appropriate action for payment resolutions
• Communicate professionally with payer resources to include websites/payer portals, email, telephone
• Maintain quality and productivity results at a level that meets departmental standards
• Reviews claims data and supporting documentation to identify coding and/or billing concerns
• Ability to interpret payer contracts and identify contract variances affecting reimbursement
• Utilize knowledge of the cash posting processing to resolve misapplied payments
• Demonstrate clear proficiency in third-party billing requirements to include federal, state, and commercial/managed care payers
• Seek resolution to problematic accounts and payment discrepancies
• Prepare appeal letters for technical denials
• Analyze accounts with critical thinking
Requirements:
• Must have had at least 2 years accounts receivable experience in a physician office setting
• General Knowledge of HCPCS, CPT-4 and ICD-10 coding and/or medical terminology
• Familiar with multiple payer requirements and regulations for claims processing
• Must have a High School Diploma/GED
Benefits:
• Have a daily impact on many lives
• Excellent training if you are new to this field
• Mileage reimbursement (if applicable)
• Community events that promotes belonging and education
• Opportunity to save lives everyday! Benefits Package
• Medical, Dental, and Vision Insurance
• PTO
• Variety of 401K options including a match program with no vesture period
• Annual Continuing Education Allowance (in related field)
• Life Insurance
• Short/Long Term Disability
• Paid maternity/paternity leave
• Mental Health day
• Calm subscription for all employees
• Performs all duties and responsibilities in accordance with local, state, and federal regulations and company policies
• Utilize and apply industry knowledge to resolve new and aged accounts receivables by working various account types
• Leverage available resources and systems to analyze patient accounting information and take appropriate action for payment resolutions
• Communicate professionally with payer resources to include websites/payer portals, email, telephone
• Maintain quality and productivity results at a level that meets departmental standards
• Reviews claims data and supporting documentation to identify coding and/or billing concerns
• Ability to interpret payer contracts and identify contract variances affecting reimbursement
• Utilize knowledge of the cash posting processing to resolve misapplied payments
• Demonstrate clear proficiency in third-party billing requirements to include federal, state, and commercial/managed care payers
• Seek resolution to problematic accounts and payment discrepancies
• Prepare appeal letters for technical denials
• Analyze accounts with critical thinking
Requirements:
• Must have had at least 2 years accounts receivable experience in a physician office setting
• General Knowledge of HCPCS, CPT-4 and ICD-10 coding and/or medical terminology
• Familiar with multiple payer requirements and regulations for claims processing
• Must have a High School Diploma/GED
Benefits:
• Have a daily impact on many lives
• Excellent training if you are new to this field
• Mileage reimbursement (if applicable)
• Community events that promotes belonging and education
• Opportunity to save lives everyday! Benefits Package
• Medical, Dental, and Vision Insurance
• PTO
• Variety of 401K options including a match program with no vesture period
• Annual Continuing Education Allowance (in related field)
• Life Insurance
• Short/Long Term Disability
• Paid maternity/paternity leave
• Mental Health day
• Calm subscription for all employees