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Healthcare Accounts Receivable Specialist at Premier Pain Solutions PLLC

Asheville, North Carolina, United States -

Full Time

Start Date

Immediate

Expiry Date

01 Jun, 26

Salary

0.0

Posted On

03 Mar, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Medical AR, ICD-9 Coding, CPT Coding, EMR Knowledge, Billing, Payment Processing, Insurance Carrier Negotiation, Payer Compliance, Accounts Receivable Management, Coordination of Benefits

Industry

Medical Practices

Description

Description The primary responsibility of medical accounts receivable managers is to oversee a healthcare facility’s billing department. They must ensure that patients and insurance companies are properly billed for all services, and that payments are received and processed in a timely manner. Essential Responsibilities Telephone insurance carrier/patient to seek resolution on account Resolve inappropriate payments with insurance carriers that are not in compliance with payer contracts or governmental agency rates on individual accounts Utilize specialized knowledge of contracts, regulatory or contractual billings guidelines to determine an account’s ability to pay after initial rejection from payer Coordinate duplicate billings, coordination of benefits, medical records or clinical documents as needed to expedite payment of insurance claims Identify trends in payer non-compliance and inform management if not able to resolve with payer Negotiate within specified guidelines with payers Ensure secondary carrier is appropriately billed or self-pay portion is pursued Determine an individual’s ability to pay and seeks additional assistance either through governmental programs or uncompensated care programs Follows up with appropriate staff to locate missing information Ensure accurate and timely billing of all outstanding account balances to the appropriate third-party payers and patient guarantors Maintain necessary logs Answer telephone calls as needed Assist with the planning and organization of departmental activities as needed and participate in said activities Participate in departmental meetings as necessary. Requirements 2 years of Medical AR experience Thorough knowledge of multi-specialty ICD-9 and CPT coding EMR Knowledge

Responsibilities

The primary duty involves overseeing the healthcare facility’s billing department to ensure accurate and timely billing to patients and insurance companies. This includes seeking resolution on accounts, resolving payment discrepancies, and coordinating necessary documentation to expedite claim payments.