Worker's Compensation AR Collections Specialist-Remote/TX Resident

Medical Billing Workers' Compensation AR Specialist will be well versed in all facets of an accounts receivable management system including but not limited to billing, claim corrections, reconciliation, Insurance refunds/credit balances, customer service, and follow-up. This includes reviewing claim information to ensure accuracy and provide feedback to the clinical and non-clinical areas regarding claim errors and/or denials. In addition, responsible for all other aspects of collections, resolving customer billing problems and reducing accounts receivable delinquency. Medical Billing Workers' Compensation AR Specialist will work remotely.

ESSENTIAL FUNCTIONS

•    Medical Billing Workers' Compensation A/R Clean up, Collections and Review.
•    Follow-up on all returned claims, correspondence, denials, account reconciliations and rebills to achieve maximum reimbursement in a timely manner with        an emphasis on patient satisfaction.
•    Mail correspondence to insurance carrier for payment of claims in the form of claim review and/or  appeals according to carrier guidelines.
•    Review and monitor assigned accounts and all applicable collection reports.
•    Follow-up claim reviews and appeals with insurance carriers.
•    Scan and fax documents pertaining to patient accounts received from carriers.
•    Actively searches for solutions to problems and presents ideas and recommendations to Management.
•    Retroactive verification of eligibility.
•    Always attempt to verify inaccurate/missing information.
•    Other duties as assigned.

EQUIPMENT AND MATERIALS USED

•  Telephone – with or without headset - constantly.
•  Computer – constantly
•   Ten key - constantly