Medical Account Receivable Specialist

Medical Account Receivable Specialist

Requirements

• Excellent mathematical skills
• Computer skills
• Microsoft applications and word processing programs skills
• Minimum of 40 words per minute typing speed
• Excellent writing and verbal communication skills
• Strong phone skills, inbound or outbound
• Strong attention to detail
• Goal oriented
• Ability to prioritize and manage multiple abilities
• Ability to work in a results-oriented and fast-paced environment, both individually and as part of a team
• Able to establish and maintain effective working relationships with the insurance carriers, patients and employees
• Must respect the confidential nature of medical information

Responsibilities

• Responsible for daily monitoring of invalid, rejections, and denials populated by the clearing house
• Diagnose the error messages and make necessary corrections so the claim can be accepted to the payer electronically
• Works Insurance Accounts Receivable reports per Revenue Cycle Manager work plan beginning with >120 aging top dollar working in descending order
• Research claim denial reasons and take appropriate follow up action for resolution
• Work correspondence in a timely fashion to include submission of medical records when requested
• Demonstrate the ability to effectively communicate and explain benefits, statements and EOB’s to patients and/or front office staff
• Contact insurance companies for payments requests, overdue payments, denied claims etc.
• Identify refunds and complete refund request according to company policy
• Clearly and accurately document issues and actions taken in accounts
• Identify and document new payer denial trends and notify supervisor for escalated follow up
• Maintain strong communication with Billing management team
• Escalate unresolved claim denials to Billing management team for follow up with health plan provider representatives
• Ensure compliance with Aspire Allergy & Sinus Center Policies and Procedures to maximize efficiency
• Maintain strong working knowledge of Allergy, Asthma & Sinus coding
• Maintain confidentiality of all information related to patients, medical staff, finances and cost-effective healthcare delivery issues
• Other duties as assigned to include phone coverage

Preferred Qualifications

No preferred qualifications provided.