What are the responsibilities and job description for the Account receivable specialist position at PT Solutions?
The Accounts Receivable Specialist supports PT Solutions by playing a key role in the revenue cycle process, by collecting debts from patients or insurance companies.
ESSENTIAL FUNCTIONS :
- Work aged receivables utilizing A / R reports
- Review and assess adjudicated claims for timely and proper payment of outstanding balances.
- Research, correct, and resubmit or reprocess unpaid claims as necessary
- Verify validity of account balance by researching, reviewing and ensuring accuracy of payment and adjustment posting
- Identify liability with guarantor and transfer balances timely and appropriately
- Review and interpret Explanation of Benefits (EOB) for denials and underpayment of codes
- Research and resolve denials and underpayments with insurance carriers
- Submit carrier appeals and reconsideration requests in a timely manner
- Process insurance refund requests as necessary and according to policy and procedure
- Meet productivity goals / benchmarks as set and communicated by Billing Manager
- Serve as primary customer service representative for payer inquiries / calls and secondary for patient inquiries / calls
- Maintain confidentiality of patient information
- Work collaboratively with other Coding, Billing, Front desk and departments as needed
MUST HAVES :
- Ability to type 60 words per minute preferred.
- Great customer service skills.
- Strong interpersonal, oral (includes telephone skills) and written communication skills.
- Good organizational skills and an ability to prioritize to meet deadlines.
- Working knowledge of all standard office equipment.
Last updated : 2024-04-28
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