Accounts Receivable Specialist

Florida Heart Associates is recruiting for an Accounts Receivable (A/R) Specialist to join our team. This is an excellent opportunity to join a stable, growing large cardiology practice that offers opportunities for growth and advancement. The A/R Specialist will review aged accounts for anomaly; work with insurance company representatives and co-workers to resolve open accounts and ensure a positive cash flow; prepare appeals and respond to patient inquiries. Initiates patient contact to collect past due balances via cycle statements, letters, and telephone. Establishes monthly payment plans with patients.

EDUCATION: High school diploma or equivalent.

EXPERIENCE: 3 years of experience with medical insurance benefits.

DUTIES INCLUDE BUT NOT LIMITED TO:

• Review EOB’s for denials/rejections/anomalies in payment within 48 hours of receipt
• Review medical insurance claims for resolution and payment
• Research, compile and respond to documentation requests from insurance carriers in a timely basis finding resolution to open account balances
• Systematically work accounts receivable to improve and reduce A/R days
• Perform various collection actions including contacting insurance companies and/or patient by phone, correcting and resubmitting claims
• Reviewing claims rejections/denial submit appeals for unpaid claims
• Prepare appeals when appropriate and file to insurance timely
• Work with insurance company reps to get claims resolved
• Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations
• Perform other duties as assigned by supervising manager.

PERFORMANCE REQUIREMENTS:

• Ability to interpret rules and regulations set by Medicare, Medicaid and Commercial payers
• Familiarity with insurance companies processes and nuances in regard to claim adjudication
• Knowledge of insurance billing and reimbursement, working knowledge of medical terminology and CPT codes, ICD-9/ICD-10
• Previous denials management experience preferred
• In-depth understanding of explanation of benefits (EOBs)
• Working knowledge of computerized medical management systems and/or web based programs
• Strong interpersonal and communication skills including verbal and written communication
• Extremely organized and detail oriented with the ability to work on multiple competing priorities
• Ability to work within a team setting and independently
• Excellent communication skills with internal and external customers
• Computer literate
• Knowledge of business office procedures

Florida Heart Associates is an Equal Opportunity Employer and is proud to be a drug and tobacco free organization.

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• AD&D insurance
• Dental insurance
• Disability insurance
• Employee assistance program
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Application Question(s):

• If selected for this position, what would be your desired salary?

Education:

• High school or equivalent (Required)

Experience:

• medical insurance benefits: 3 years (Preferred)

Work Location: One location