Accounts Receivable Specialist

Works accounts receivable through contact with patients, insurance companies and contracted entities.

Qualifications

• High School diploma or equivalent (GED).
• Demonstrated knowledge of all job functions in the Billing Department, plus three years related experience. Two years accounts receivable/collections experience.
• Working knowledge of ICD-9 and CPT-4 coding systems. Medical terminology.
• Ability to work with computerized billing system and Windows based programs. 10 key calculator by touch.
• Interacts effectively with customers.
• Detail oriented.

Professional Duties

• Continually monitors accounts receivable, making contact with payers to ensure prompt payment of claims. Meets or exceeds departmental standards for accounts receivable aging.
• Arranges payment plans as necessary for patient balances and cash patients.
• Forwards tracer claims to late payers as appropriate.
• Works electronic billing reject reports. Makes corrections and rebills corrected claims.
• Handles patient phone inquiries for assigned accounts.
• Handles all secondary insurance billing for assigned accounts.
• Researches, corrects and rebills insurance denials for assigned accounts.
• Interacts with other DOHC departments and/or billing service client office staff to obtain/verify-needed information to reconcile accounts.
• Handles mail and inter-office correspondence for assigned accounts.
• Researches, collects data and prepares patient and insurance refunds.
• Posts appropriate payments and/or adjustments to reconcile accounts.
• Provides support to other members of the Billing Department as needed.
• Advise supervisor of system or process problems and opportunities for improvement.
• Other duties as assigned

Physical Demands