Accounts Receivable Specialist

Performs follow up on billed facility fee charges.  Researches unbilled charges performing necessary action to become billed timely. Researches and corrects denied claims.  Provides feedback to billers and Team Leader on process improvement. Completes Secondary/Tertiary billing. Performs daily tasks as directed. Assists with professional billing customer service.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Other duties may be assigned.

  • Performs follow up either on website or placing phone calls to Ins. Carrier or patient.
  • Researches credit balances providing feedback and/or prepares refunds for approval by Supervisor.
  • Processes correspondence requests.
  • Verifies insurance eligibility and benefits.
  • Responds to customer inquiries in timely manner.
  • Shares ideas for process improvement.
  • Corresponds with department on inquiries and deficiencies.
  • Works denied claims reports and outstanding claims reports in allotted time period per departmental protocol.

QUALIFICATIONS

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.  The requirements listed below are representative of the knowledge, skill and/or ability required.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

EDUCATION and/or EXPERIENCE

2 years of facility billing/experience.

COMMUNICATION  SKILLS

Must be able to effectively communicate with physicians, clients, OHS management and staff employees.

SKILLS

Must be computer literate and have basic word processing and excel skills.  Must be detail oriented and be an independent thinker with excellent problem solving skills.

PHYSICAL REQUIREMENTS

Must be able to sit for long periods of time.  Must have the dexterity to operate a computer keyboard or calculator. Must be able to ambulate, bend from the waist and squat for filing purposes. Must be able to lift 25 pounds (boxes of files).

 

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