A/R Specialist

Full-time

Description

ID Care, LLC is seeking an experienced full time Insurance Accounts Receivable Specialist (Medical) for it's billing department. If interested in the position, read the job description below and apply.

General Summary: This is a nonexempt position which is responsible for primarily working Accounts Receivable reports for assigned insurance payers including all follow-up that may be required. This includes follow-up with insurance companies by phone or by websites online regarding claims that have been generated. The AR Specialist will check the status on claims and file appeals, as necessary. This position would require about 80% of phone work and following up on the claims on the payer’s website. Also, may be responsible for creation of claims and scrubbing claims using practice

Immediate Supervisor Title: Associates Director of Revenue Cycle Management

Job Supervisory Responsibilities: None

Essential Job Responsibilities:

• Work minimal 60- 75 accounts daily.
• Responsible daily for the correction of primary/secondary insurance and clearinghouse rejected claims and the resubmission of rejected and denied claims.
• Document appropriate follow up notes on claims and patient accounts and upkeep of any daily spreadsheets required by supervisor.
• Responsible for accurate and timely follow up on accounts receivables for payers assigned.
• Submit appeals to insurance companies as needed.
• Answer phones, retrieve voicemails and answer patient questions that may come in regarding statements, patient balances, collection status, etc.
• May be required to assist as needed with patient balances, statements, and collection action.
• Establish payment plans for patients using the guidelines required.
• Identify and resolve patient billing complaints.
• Report payments made by patient directly to the office to the appropriate staff member.
• Update patient demographics in the practice management software, as necessary.
• Other duties as assigned.

Equipment Operated: Standard office equipment including computers, fax machines, copiers, printers, telephone, etc.

Work Environment: Position is in a well-lighted office environment with windows allowing the temperature to fluctuate during each season.

Benefits :

• 401(k)
• AD&D insurance
• Bereavement leave
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid sick time
• Paid time off
• Pet insurance
• Referral program
• Tuition reimbursement
• Vision insurance

Requirements

Education and Experience:

• High School Diploma or equivalent
• At least 3 years of insurance accounts receivable experience in a medical office setting.
• Coding certification optional

Performance Requirements: This position requires a strong working knowledge of managed care plans, insurance carriers, referrals, and authorization procedures.

Knowledge:

• Knowledge of CPT, ICD-10, HCPCS and modifiers.
• Knowledge of full cycle accounts receivable.
• Working knowledge of Microsoft Office including Word and Excel.

Skills:

• Excellent written and verbal communication skills.
• Must have strong organization and time management skills.
• Detail oriented.
• Possess excellent follow up and follow through skills.
• General math skills and statistical analysis when appropriate.

Abilities:

• Ability to initiate and complete tasks related to job duties without direct request of director.
• Ability to analyze information and problem solve.
• Ability to work under pressure and meet tight deadlines.
• Ability to deal courteously with patients and insurance companies.

Mental/Physical Requirements: Requires sitting and standing associated with a normal office environment. Involves looking at a computer monitor for up to 8 hours per day. Occasional lifting of office supplies under 15 pounds.

Salary Description

$19 - $25