Account Receivable Specialist (Billing) (5 Years of Experience Needed)

Job Summary:

Responsible for the financial transactions of business through managing accurate claims, records, and patient invoicing.

Essential Duties:

1. Review & manage assigned accounts receivable.

2. Prepare, monitor, and track all patient statements for and negotiate payment terms for the resolution of patient responsibilities.

3. Monitor and problem-solve all insurance claims for assigned accounts receivable.

4. Responsible for collecting Accounts Receivable Aging as assigned.

5. Problem-solve denials and EOBs for accounts receivable in order to collect cash for claims.

6. Handle incoming/outgoing phone calls to insurance companies and/or patients.

7. Manage appeals by submitting and following through until final decision.

8. Submit claim adjustments to the Billing Manager.

9. Backup other Billing Specialists as needed.

10. Assist the Accounting Manager with any payment questions and/or issues.

11. Answer and assist accounts receivable with any questions or concerns regarding billing.

12. Act as liaison with the various managed care companies, federal and state agencies.

13. Assist with the implementation and supervision of company-wide compliance with policies and procedures.

14. Monitor and report trends for training of staff.

15. Complete Pre-Payment Audits for assigned Insurance and help others with pre-payment audits as needed.

16. Assist with any projects as needed.

Job Requirements:

1. Minimum of Five (5) years of experience in the health care field.

2. Minimum of Five (5) years of experience in medical billing.

3. OPIE and OPIE Billing experience preferred.

4. Efficient with Computers to include Microsoft Office (Email, Exel, Word)

5. Ability to type 40 wpm.

6. Ability to read, write, speak, and understand the English language fluently.

7. Close attention to detail is important for record-keeping and documentation.

8. Ability to establish and maintain effective and cooperative working relationships with staff and insurance companies.

9. Ability to prioritize tasks and meet deadlines.

10. Ability to maintain confidentiality.

11. Ability to think and work effectively under pressure and accurately complete tasks within established time frames.

12. Reliable internet is required.

13. Employment contingent upon clear fingerprint and criminal history record.

Education Requirements:

· High school diploma or equivalent

· Minimum of 5 years of job-related experience as a Billing Specialist or similar position.

Working Conditions:

This position operates in a clerical office setting. This role routinely uses standard office equipment such as computers, scanners, printers, phones, filing cabinets and fax machines.

Position Type/Expected Hours of Work:

This is a full-time position, and regular hours of work and days are Monday through Friday, 8:30 am to 5 pm.