Accounts Receivable Specialist

Summary

Join our revenue cycle management team as an Accounts Receivable Specialist and play a crucial role in ensuring accurate, compliant, and timely billing and reimbursement of medical professional services.

Requirements

• One to three (3) years of experience in medical insurance claims billing and collections preferred
• Proficient in Google for Business, MS Office, Excel and Word
• Experience with physical therapy EMR systems is a plus
• A customer success-oriented attitude
• Excellent communication and negotiation skills
• Problem-solving aptitude

Responsibilities

• Prepare and accurately resubmit comprehensive corrected claims to various insurance companies
• Conduct thorough analysis of first pass rejected claims, ensuring completeness and accuracy of information for subsequent clean claim submission
• Perform diligent research and follow-up on the status of primary and secondary billing claims for assigned insurance plans
• Review, assess, and process all claim appeals
• Evaluate customer accounts and recommend adjustments or write-offs to the Manager based on the collectability of accounts with insurance carriers or patients
• Identify and promptly report any billing problems, errors, or discrepancies to management
• Generate and distribute monthly patient balance due statements in accordance with the explanation of benefits received from insurance carriers