AR Collections Specialist
Company: Medical Ar Management Services Llc
Location: Houston
Posted on: January 28, 2023
Job Description:
Job DescriptionSummaryOnsite or RemoteThe accounts receivable
collections specialist will be responsible for maintaining industry
standards for the A/R they are assigned to for all carriers in
regard to aging, collection rates, appeals, rejections and claims
with no activity. This position will also post adjustments as
needed and responsible for the follow up on all outstanding
insurance claims. The collections specialist will work the aging
reports as directed by the A/R Manager. Responsible for lowering
A/R over 90 days to acceptable standards. This position is also
responsible for timely follow-up with internal and external
customers as well as third-party payers. Supports and adheres to
all policies and procedures.Essential Duties and ResponsibilitiesTo
perform this job successfully, an individual must be able to
perform each essential duty satisfactorily. The requirements listed
below are representative of the knowledge, skill, and/or ability
required. Reasonable accommodations may be made to enable
individuals with disabilities to perform the essential
functions.
- Research claims and refile/appeal as necessary (phone, paper,
or online) based on review of coding, contractual issues, data
entry errors, etc.
- Monitor payer rejects and denials to determine systemic or data
entry issues and report irregularities to management
- Daily follow up on all outstanding assigned insurance
claims.
- Daily follow up on all claim reports generated based on
rejections, appeals and denials by the insurance carriers.
- Post contractual adjustments and transfer deductibles to
patient accounts based of correspondence from the insurance
carriers.
- Assist with claim resubmission projects when necessary.
- Work with supervisors to streamline billing procedures based on
denial types.
- Research and resolve unpaid claims.
- Correcting errors on daily basis
- Review accounts that have partial or under payments.
- Prepare spreadsheets on unpaid or partial pay claims for
resubmission to payers.
- Handle correspondence from insurance companies including
denials, information requests or refund requests.
- Handle incoming calls from patients and insurance companies
regarding claims and patient balances.
- Review accounts to determine if billed correctly.
- Performs other related duties as assigned or described in
Company policy.
Qualifications
- 3 years' experience in healthcare collections setting.
- 3 years' experience with Medicare, Medicaid, and Commercial
carriers' collections
- Ability to read explanation of benefits (EOBs) is critical for
this position
- Strong cognitive skills including analysis, problem solving,
high attention to detail, and decision making
- Ability to work collaboratively with other team members to
support data quality and integrity initiatives
- Great organizational skills
- Ability to work on multiple assignments concurrently within
established timeframes
- Ability to multi-task, establish and meet deadlines
- Ability to work in fast-paced environment and maintain
accuracy
- Strong verbal and written communication skills
- Ability to troubleshoot and recommend root cause solutions to
problems
- Above average organizational and time management skills
- Strong Microsoft Office experience with emphasis on Excel
(intermediate to advanced).
- Knowledge of Federal, state and HIPAA privacy
regulationsEducation/Experience:
- High School graduate or equivalent
- ACPC preferred but not requiredby Jobble
Keywords: Medical Ar Management Services Llc, Houston , AR Collections Specialist, Other , Houston, Texas
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