Medical Accounts Receivable Specialist

Job Description

Job DescriptionBenefits:

• 401(k)
• Competitive salary
• Dental insurance
• Health insurance
• Paid time off
• Profit sharing
• Vision insurance

Summary/Objective
The Medical Accounts Receivable Specialist will follow up on unpaid claims utilizing monthly aging reports, file appeals, reconsiderations and work with patients regarding insurance explanations of benefits and insurance verifications. Manages and collects outstanding accounts receivables, with insurance companies and patients. Assists in resolving customer billing problems assisting in the reduction of accounts receivables. Responsible for processing accounts and incoming payments in compliance with financial policies and procedures. Oversees all collections. Performs other related duties as assigned.

Essential Job Functions:

• ability to read an Explanation of Benefits form
• monitor Aging report to identify outstanding accounts receivables
• assist customers with disputes and inquiries and reconciling payment history
• perform creative skip tracing techniques to locate patients
• answering phones
• ensure all accounts have proper and accurate documentation
• involved in processing corrected claims
• utilize judgement to analyze patient ability to pay and establish payment plan
• take actions in order to encourage timely payments and/or turnover to collection agency
• investigates historical data
• process payments and refunds
• resolves billing issues
• resolves patient credit issues

Minimum Qualifications:

• High school diploma or equivalent.
• Associates/Bachelors degree is preferred
• 2+ years Prior Medical Patient and Insurance Collections experience required
• 2+ years Medical Billing experience preferred
• Knowledge of medical terminology
• Understanding of Medical Claims Processing preferred
• Excellent knowledge of billing procedures
• Knowledge of collection law and regulations
• Excellent communication and interpersonal skills
• Efficient in the use of standard office equipment, data entry, typing, 10-key skills, and alpha/numerical filing

Essential Functions (Physical):
Regular and predictable attendance is an essential job function.
Majority of the shift is spent standing.
Frequent reaching, stooping and twisting when filing, accessing records and answering telephone
Ability to lift up to 25 pounds.
Read a variety of printed and handwritten materials, computerized reports, manuals, and correspondence.
Communicates with patients, physicians, families and co-workers in person and on the telephone.

Work Environment:
Orthopedic Surgery & Sports Medicine operates in a professional office environment. Days and hours of work are conducted Monday thru Friday 8:00 am to 5:00 pm.
This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.
Orthopedic Surgery & Sports Medicine has multiple locations and travel may be required.

Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.