The Insurance Accounts Receivable Specialist will monitor accounts receivable, tasks, manage denials, post payments and resolve questions regarding patient accounts. Duties and Responsibilities: - Provides prompt, courteous and accurate information to inquiries from appropriate parties and makes every reasonable effort to assist patients to an acceptable resolution of their problems or requests. - Verify patient insurance eligibility and benefits. - Contact insurance companies regarding outstanding claims. - Review explanations of benefits for accuracy, working with coding specialists for accuracy, ensuring proper coding. - Detect errors and submit corrected claims. - Demonstrates initiative by suggesting enhancement to the existing processes and policies to reduce denials, improve collections and increase cash flow. - Perform billing functions as needed including accounts receivable, payment posting, denial management and providing cross coverage as necessary. - Address open tasks within practice management software, work receivables and resolve denials in a timely fashion. - Assist with insurance refunds. - Must have knowledge of and follow current ICD-10 and CPT guidelines. - Runs all routine and requested reports for daily routines. - Perform any additional duties as may be assigned. - Compliance with HIPAA and OSHA guidelines. Qualifications: - Cooperative work attitude toward co-employees, management, patients, visitors, and physicians/extenders - Ability to promote favorable facility image with physicians, patients, hospitals, other physician offices, and general public - Ability to document processes and improve their efficiency - Ability to make decisions and solve problems - Work effectively as a team member with physicians and other staff - Appropriately interact with patients, families, and others Requirements: Required - High school diploma or GED certificate - Basic office skills including data entry - Good communication skills and ability to deal with the public in a professional, courteous manner. - Billing experience and insurance knowledge (eligibility, registration, etc.) Preferred - Surgical and orthopedic billing experience a plus Job Quality Requirements: - Accuracy - Attention to detail - Timeliness - Organization - Little supervision needed to accomplish task - Ability to multi-task Dependability: - Attendance - Punctuality - Ability to follow instructions - Ability to meet deadlines Physical/mental Requirements: - Must be able to speak, hear, see, stoop, lift, bend, reach, kneel, squat, push and pull. - Ability to sit for prolonged periods of time. Ability to input data intermittently up to eight hours a day. - Ability to cope with occasional stress from workload. - Must be able to use a variety of office equipment including phone, copy machine, writing instruments, computer and fax. Reports to: Billing Manager, Director of Finance Classification: Non-exempt. Generally non-exempt employees work 40 hours per week. Contacts: - Patients - Patients’ family/significant others - Insurance payers - Physicians and physician office personnel - Administration Job Type: Full-time Benefits: 401(k) Dental insurance Health insurance Health savings account Paid time off Vision insurance Schedule: Monday to Friday Work setting: Medical office Private practice Ability to Relocate: Owensboro, KY 42301: Relocate before starting work (Required) Work Location: In person
Salary: $27.4K - $34.7K a year
Employment Type: Full-time
Qualifications
[ "Work authorization (Required)" ]