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Summary Description:

Accounts Receivable Specialist is responsible for providing timely and efficient follow-up with all payer types for all unpaid claims and presenting data to appropriate parties.

Daily Responsibilities:

· Researches and resolves unpaid, denied, or pending claims and invoices.

· Responsible for the appeal process including filing appeals and monitoring appeals through completion.

· Responsible for accurate information and data input on all patients, insurance, notes, and claims.

· Generates invoices for client billing.

· Negotiates with the responsible party on unpaid accounts.

· Assists in identifying potential billing issues.

· Participates in staff meetings and offers appropriate and constructive suggestions and criticism.

· Utilizes any extra time during decreased workload to assist other employees that may have extra workloads.

· Organizes work in a manner to keep up with all the details of the job requirements.

· Demonstrates competency in skills and knowledge pertinent to the practice of accounts receivable.

· Demonstrates working knowledge of insurance carrier rules and regulations as pertaining to reimbursement.

· Consistently performs routine tasks in an independent manner, while exercising good judgment during those instances when help may be needed, or a supervisor needs to be informed.

· Other duties as assigned.

Required Skills

· Seeks continual professional development by updating current knowledge base regarding private insurance reimbursements.

· Utilizes proper chain of command when addressing concerns or problems.

· Proficient computer skills with Microsoft Excel.

· Excellent Communication (Verbal & Written) Skills.

· Data entry skills.

· Strong work ethics and confidentiality.

· Time management skills and attention to detail.

Required Experience

• High school diploma or equivalent

• 2 + years of relevant healthcare AR and denials experience required.

• Experience working with claims billing preferable.