AR Specialist

General Summary of Duties:  This position is responsible for following up on claims from billing through final resolution.  Other responsibilities include: 

 Essential Functions:  Core duties include the following, but are not limited to:

• Work denied and unpaid accounts receivable from insurance on a daily basis to secure payment.
• Call insurance companies and utilize insurance websites to obtain claim status.
• Actively follow up and collect on paper and electronic claims from insurance companies and follow up on unpaid balances.
• Identify and correct billing errors and resubmit to insurance carriers while ensuring corrected claims and appeals are sent out to insurance companies timely (timely filing).
• Follow protocol related to write offs and adjustments policies.
• Identify denials trends and develop solutions to reduce denials and increase payments.
• Actively manage all Insurance AR processes for assigned accounts, monitoring trends and notifying the appropriate staff.
• Keep on task to meet all required deadlines and time-frames for customer and company needs.
• Assist in the development of processes and procedures for accounts receivable as needed.
• Respond to all insurance questions regarding AR.
• Ensure compliance with all relevant regulations, standards, and laws
• Respond/answer tasks, email and phone calls from insurance companies, staff, and management
• Report and participate in company meetings, as requested
• Process patient payments over the phone and answer patient phone calls, as needed
• Process insurance refund requests and work insurance credits as needed
• Acting cooperatively and courteously with patients, visitors, insurance companies, co-workers, physicians and management.
• Able to provide extraordinary customer service to all parties interacted with.
• Other duties as assigned by management.

Educational Minimum Qualifications:  To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions

• High School Diploma or GED required
• 3 years of experience in specialty insurance collections, including submitting and following up on claims
• Experience in Physician Billing and Collections / Facility Billing
• Proficiency with MS Office
• Familiarity with ICD terms