Medical Billing - Claim Response - Payor Research - A/R Follow-up Specialist - Commercial

Immediate Opening

Starting Pay: $20.00/hour

Job Summary

The Medical Insurance A/R Follow-up Specialist must have experience working with multiple commercial insurances. The successful candidate will have a strong attention to detail, effective communication skills and a proven track record of resolving insurance denials and collecting on accounts receivable. All tasks must be performed in a timely and accurate manner in accordance with Billing Office practices, policies, and procedures.

Essential Functions/Duties

• Examines the patient record and/or researches all avenues to gather information
• Supports process improvements to assure quality and timely documentation
• Follows billing process, makes necessary contacts to assure maximum reimbursement
• Works closely with all billing and support service groups
• Make inquiries via telephone, mail, and fax or electronically through payer websites or e-mail for follow-up of those unresolved accounts
• Review payment denials and discrepancies identified through EOB, remittance advices or payer correspondence and take appropriate action to correct these accounts
• Performs all other duties as assigned

Qualifications

Required Experience

• Minimum of 1 year of advanced experience collecting Accounts Receivable

Preferred Experience

• 2 years of experience in Healthcare/Revenue Cycle billing
• Demonstrated complex problem-solving skills
• Demonstrated proficiency in required job skills and knowledge

Required Education

• High school education
• Some college or specialty training in medical billing or equivalent job relevant experience is preferred

Skills

• Ability to calculate numbers, correct entries, and post to records
• Ability to gather data, compile information, and prepare reports
• Ability to use independent judgment and to manage and impart confidential information
• Ability to prepare routine administrative work
• Records maintenance skills

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