Accounts Receivable Specialist I
Job Description:
- Research root issue of denial.
- Pursue proper course of appeal or follow up to obtain payment.
- Review account history for continuous follow up.
- Address incoming correspondence.
- Prepare correspondence to insurance companies, patient and/or guarantor, as necessary.
- Contact insurance companies/patient/guarantor to obtain status of outstanding claims and submitted appeals.
- Document claim issue for review.
- Escalate issues and problems to Supervisor as appropriate.
- Performs charge corrections.
- Perform demographic and insurance coverage updates on account and bill new insurance as appropriate.
- Perform other job duties as required.
Requirements:
- High school graduate or GED certificate is required.
- A minimum of 6 months experience in a physician billing or third party payor environment.
- Candidate must demonstrate a strong customer service and patient focused orientation and the ability to understand and communicate insurance benefits explanations, exclusions, denials, and the payer adjudication process.
- Experience in Epic and or other of electronic billing systems is preferred.
- Knowledge of medical terminology, diagnosis and procedure coding is preferred.
- Previous experience in an academic healthcare setting is preferred.
Benefits:
- Healthcare
- Paid Time off