Medical Accounts Receivable Specialist HYBRID at Family Allergy & Asthma

Louisville, Kentucky, United States -

Full Time

Start Date

Immediate

Expiry Date

09 Jun, 26

Salary

0.0

Posted On

11 Mar, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Accounts Receivable, Medicare, Medicaid, Commercial Insurance, Managed Care, Advantage Plans, Claim Research, Denial Management, Appeals, Reconsiderations, Excel, Availity Essentials, Documentation, Revenue Cycle, EMR

Industry

Medical Practices

Description

Description Job Description Job Title: Medical Accounts Receivable Specialist FLSA/Status: Hourly Reports To: Senior Revenue Cycle Manager Location: Hybrid Department: Billing Travel Required: No Supervisory Responsibility: No Position Summary: The Medical Accounts Receivable Specialist is responsible for demonstrating knowledge and application of job duties within scope of practice and functions under the direction of the manager(s) and/or Director(s); respectfully interacts with all levels of staff; provides assistance, as needed, during assigned duty hours; participates in department activities; promotes independence; adherence to the attendance policy; encourages socialization; advocates for the quality of life of our patients while maintaining compliance with all applicable laws, regulatory and organizational standards; supports the company’s core values. Summary of Duties and Responsibilities: ? Understands and has experience with multiple carrier types (Medicare, Medicaid, Dual, ? Commercial, Managed Care and Advantage plans) in multiple states. ? Research and investigate denied or no response claims to confirm reason for denial and best ? method of recovery. ? Reviews payer policies and guidelines to support reconsiderations and appeals where needed. ? Identifies trends and notifies leads and manager immediately to establish plan of action. ? Submits corrected claims, reconsiderations and appeals via portal, fax or secure email using mail ? as last resort. ? Thoroughly documents research done and action take on each claim in IMS ? Follows SOPs ? Proficient in Excel ? Proficient in Availity Essentials ? Communicates with other departments via shared spreadsheets and conducts regular followups on cross communication. Education, Prior Work Experience, Special Skill and Knowledge Requirements: ? High School Diploma ? Minimum 2 years of recent AR experience in a healthcare setting ? Proficient with Microsoft applications ? EMR experience – 2 years ? Proficient in denial management ? Experience working Commercial, Medicare and Medicaid plans. ? Experience working in fast-paced, high volume, multi-provider practice. ? Understanding of Revenue Cycle including admission, billing, payments, and denials. ? Hybrid schedule Medical

Responsibilities

The specialist is responsible for researching and investigating denied or non-responsive claims across various carrier types to determine the best recovery method and submitting necessary corrections, reconsiderations, or appeals. This role also involves identifying denial trends and immediately notifying leads and management to establish an action plan.