Accounts Receivable Specialist

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Manages time to complete work in timely manner and be a team player.

• Meets productivity requirements as established by organization and external benchmarks.

• Provides proactive reporting and communication of any accounts receivable issues to management.

• Completes posting of all payments and adjustments at the patient account level in a timely and accurate manner.

• Reviews accounts receivable reports and proactively identify issues and to determine resolutions.

• Provides timely account corrections once identified by AR follow-up processes.

• Proactively engages other operational areas to review and resolve issues as needed.

• Proactively works to fully resolve insurance denials. Identifies root cause and to determine resolutions.

• Participates in audit and process improvement projects as needed.

• Provides professional assistance for patient billing calls.

• Effectively uses EMR system to document patient records using proper English grammar, spelling, and syntax.  

• Keeps up-to-date with Medicare/Medicaid guidelines and other government plan replacements (basic knowledge).

• Keeps up-to-date with commercial insurance policies and contract nuances (basic knowledge).

• Maintains strict confidentiality.

• Completes other duties as assigned.

***MUST live in the state of FL, GA, AL, MS***

Education and/or Experience Requirements:

· High School graduate or equivalent. 

· 1 year of revenue cycle/AR experience with a general knowledge of ICD 9/10 coding or equivalent combination of education and experience. 

· Working knowledge of medical terminology and human anatomy.