US Heart and Vascular is needing a Remote Account Receivable Specialist to join our team at Cardiology Specialist of Acadiana in Lafayette LA
Position Summary
Achieves maximum revenue collections from insurances and patients through timely entry, filing and follow-up; maintains thorough and accurate transaction and correspondence on patient accounts; provides insurance claims education to patients; posts payments & adjustments; reconcile batches and accounts
Responsibilities:
- Demonstrates thorough understanding of all medical insurance terminology, ICD-10 coding, CPT-4 coding, remittance advice and explanation of benefit forms.
- Understands health insurance guidelines, esp. Medicare, Medicaid, HMOs, PPOs
- Understands how to post remittance advice or explanation of benefits, electronically or manually.
- Files primary and secondary claims timely.
- Batches and posts insurance & patient payments and adjustments correctly in accordance with policy and procedure and assigned timeframe.
- Ensures accounts assigned are managed timely for outstanding insurance, denials, filed rejected, appeals for payment within 30 days
- Follows-up on unresolved claims no less than every 30 days.
- Thoroughly documents tasks performed on each patient account in EMR.
- Seeks patient collections on overdue accounts.
- Processes and enters charges with correct diagnoses and modifiers within 48 hrs of charge availability in billing module; prepares clean and timely claim for insurance
- Greets patients in a friendly and professional manner, whether in person or via telephone, determines their needs and responds accordingly; educates patients on insurance as needed.
- Obtains and/or reviews current & accurate demographic and insurance data relative to dates of service, including insurance cards into patient registration system.
- Verifies medical insurance coverage and document benefits information as needed.
- Utilizes EMR and PM system accurately.
- Perform any other services deemed reasonable by supervisor.
Requirements:
- High school diploma or equivalent.
- A minimum of one year’s experience in a medical office or other healthcare setting.
- Must have basic understanding of medical terms and abbreviations; possess thorough working knowledge of insurance and medical billing; usage of computer systems; the mechanics of health insurance and PPO networks; various medical billing forms, reports and processing methods; patient confidentiality/HIPAA regulations
- Have excellent attention to detail
About Lafayette, LA:
Lafayette is the heart of Cajun and Creole culture, offering incredible food, music, and festivals. It’s affordable, welcoming, and full of community spirit. Outdoor lovers can explore bayous and trails, while downtown boasts a lively arts scene. With a growing economy and rich heritage, it’s a great place to call home.
Skills Required
- High school diploma or equivalent.
- Minimum of one year�experience in a medical office or healthcare setting.
- Basic understanding of medical terms and abbreviations.
- Thorough working knowledge of insurance and medical billing processes.
- Familiarity with ICD-10 and CPT-4 coding, remittance advice, and EOB forms.
- Ability to post remittance advice/EOBs electronically or manually and batch payments/adjustments.
- Knowledge of Medicare, Medicaid, HMOs, PPOs and payer guidelines.
- Experience using EMR and practice management (PM) systems.
- Understanding of patient confidentiality and HIPAA regulations.
- Excellent attention to detail.
What We Do
US Heart & Vascular is a leading national provider of support services to cardiovascular physician practices, focused on enabling independent cardiologists to thrive by improving patient care and reducing healthcare costs.
