Medical Accounts Receivable Specialist

at  Robert Half

Robert Half is looking for a Medical Billing AR Specialists perform analysis of patient clinical and billing data to identify documentation, coding and charging opportunities.
Works pre-bill edits and post adjudication denials to secure claim resolution.

• Responsible for working pre-bill edits including but not limited to CCI edits and claim scrubber edits. Collaborates with intra-departmental teams to determine root cause.
• Performs denial investigation and corrections to secure claim payment.
• Identifies opportunities for denial prevention through revenue cycle.
• Maintains an understanding of regulatory and payer changes to ensure correct charging and billing requirements are met.
• Maintains working knowledge of coding and billing regulations for all payors.
• Keeps current on regulatory updates, local payer policies and procedures to ensure charge accuracy, compliance and optimization.
• Contact patients in order to obtain or relay billing account information.
• Field questions from patients, clerical staff, and others.
• Cooperating with the billing manager to ensure that their work adheres to the standards, guidelines, procedures, and deadlines set by the company.
  Qualifications
  Must possess a demonstrated knowledge of clinical processes, clinical coding (CPT, ICD-10, revenue codes and modifiers), charging processes and audits, and clinical billing as normally obtained through a certified medical billing program.
  1+ years or recent experience in high volume medical billing.
  Knowledge of ICD-10 and CPT coding, charge capture, reconciliation, error management operations and overall revenue cycle operations required.
  Working knowledge of third-party payer rules and requirements, computer operations and electronic interfaces related to charge documentation, capture and billing is required.
  Exceptional organizational skills and ability to prioritize and manage multiple functions and responsibilities simultaneously.
  Problem solving, time management and exceptional interpersonal skills.
  Good written and verbal communication skills.
  Medical Billing, Clinical Accounting
  Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.
  Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app and get 1-tap apply, notifications of AI-matched jobs, and much more.
  All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.
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