Medical Accounts Receivable Specialist

Position: AR Specialist | Classification: Non-Exempt | Status: Full-time | Grade:

In Office non-exempt Account Receivable Specialist position will interact with insurance companies and with patients to ensure accurate, streamlined coding/ billing and payment posting. This position is responsible for job duties such as: translating patient conditions and provider’s medical treatments into universal medical codes for translation by various parties, creation and submission of claims as well as assist in internal auditing of all billing and coding activities to ensure consistency, accuracy and completeness.

Essential Duties, Functions & Responsibilities

· Addressing A/R aging report under the direction of Director of department

· Consistently follow-up with outstanding claims to deduce timely payment from payer

· Handling patient billing, accounts receivable from payers

· Review new patient insurance to ensure accuracy

· Diligent review EBO’s, address rejections, requests, denials pursuant to AVS billing policy

· Establish payment plans with patients

· Review all denials for correction, execute corrections

· Assist in positing payments from all methods, assist in reconciliation

· Coordinating insurance reimbursement of care providers

· Transmitting coded patient treatment information to payers and other recipients

· Reviewing medical procedures/Progress notes as documented by providers & resources

· Translating medical procedures into codes that can be translated by payers, other medical coders, and other medical facilities

· Ensure coding practices are within American Medical Association CPT/HCPCS guidelines

· Review VA authorization to ensure planned care coincides with authorization

· Upload or fax medical records to appropriate payer/institution as required

· Assist in transmitting all claims to clearinghouse

· Serve as a point of contact for all billing questions stemming from providers, patients and office staff

· Bill paper claim to insurances that do not accept electronic format

· Work cohesively with other members of Coding/Billing team as well as other members of staff

· Other duties as assigned.

Qualifications & Experience

· High school Diploma, Associates Degree from accredited University preferred

· Candidate or possession of a Professional Coder Certificate (CPC) from APPC

· Familiarity of Vascular Anatomy/Coding/Procedures

· Minimum 1-2 years’ experience of patient care

· Superior communication & organizational skills

Employee must be able to remain in stationary position for 75% of time, person needs to occasionally move about inside office to access file cabinets, office machinery etc. Constantly operates computer and other office productive machinery such as printer, fax, scanner, etc. Occasional requirement to position self to stoop, kneel, and or crouch when adjusting equipment or stocking supplies. Person must frequently communicate with patients, employees and physicians to further ensure coordination of care. Must be able to lift weight of 15 pounds or less.

Job Type: Full-time

Pay: $20.00 - $30.00 per hour

Benefits:

• 401(k) matching
• Dental insurance
• Flexible schedule
• Health insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Work setting:

• Office

Education:

• High school or equivalent (Required)

Experience:

• ICD-10: 2 years (Required)
• Medical Billing: 2 years (Required)

License/Certification:

• Certified Professional Coder (Preferred)

Work Location: In person