SUMMARY/OVERVIEW

The Accounts Receivable Collection Specialist will review denied claims and corrections for timely filing with our payors while researching and rebilling all claims that are still collectible. The AR Collections Specialist will also report any trends in denials and work directly with insurance companies and patients on all rebilling. Reporting directly to the Revenue Cycle Manager, the Medical Collections Specialist will assist with revenue and billing operations within their scope.

EDUCATION & EXPERIENCE

• High School Diploma or equivalent
• 1 year of physician billing and/or accounts receivable follow up experience

QUALIFICATIONS

• Knowledge of Medicare, Medicaid, and Managed Care billing and reimbursement guidelines
• Detail-oriented, problem solver/analytical, flexible, and self-motivated
• Proficiency with Microsoft (Outlook, Office Word, and Excel)
• Organized, ability to multi-task in a fast-paced environment
• Works well independently and in a team setting
• Ability to type 45+ words per minute
  Classification: Non-Exempt
  Schedule: Day Shift, Monday-Friday
  Pay Range: $19-24.00/hour
  Healing Partners provides equal employment opportunities to all employees and applicants for employment without regard to race, color, ancestry, national origin, gender, sexual orientation, marital status, religion, age, disability, gender identity, results of genetic testing, or service in the military. Equal employment opportunity applies to all terms and conditions of employment, including hiring, placement, promotion, termination, layoff, recall, transfer, leave of absence, compensation, and training.

• Review denied and no response claims for the accuracy of CPT, diagnosis codes, procedure codes, and modifiers and rebill or send corrected claim within the payers’ timely filing limits.
• Research and rebill claims to appropriate insurance for (109 denials) and update the patient chart to reflect correct insurance.
• Communicate with insurance companies and other parties to clarify billing issues and resolve payment issues.
• Follow up with the provider on any documentation that may be needed to appeal claims when appropriate.
• Complete balance adjustments to accounts when the claim is deemed uncollectible per company policy.
• Identify and report any trends with denials (ex. Credentialing issues) to Revenue Cycle Manager.
• Answer incoming calls regarding billing inquiries from insurance and/or patients.