Accounts Receivable Specialist
Location: Haverhill Massachusetts
Description: SMG - Haverhill Area is currently seeking to employ Accounts Receivable Specialist right now, this job will be placed in Massachusetts. For complete informations about this job opportunity please give attention to these descriptions. Associate's degree is preferred.
Certification is preferred.
1-2 years experience is preferred.
Medical Terminology experience is required! .
Under the direction of the Manager and Supervisor of Reimbursement & Patient Account Services , Specialist is responsible for resolution of patient account balances associated with insurance denials, answer incoming insurance and practice calls with the ability to explain charges, services and insurance billing questions. Work with practices and payers to resolve claim denials and comply with insurance and SMG procedures, guidelines and policies.
Responsibilities:
Various aspects of medical billing; claim creation, claim submission, payment posting for insurance and patient balances. These denials and appeals are billed in the AthenaNet system electronically. The AR Specialist must also obtain supporting documentation, i.e., medical records, EOB’s Remits, Authorizations, referrals, etc., from through our email applications, scanning system, Medicare remittance system, and Meditech (hospital billing system). The AR Specialist will review, int! erpret and apply contractual terms. Identify and/or apply cont! ractual and administrative adjustments.
Monitor insurance denials by running reports and contacting insurance companies to resolve and recover denied claims.
Monitor aging reports for timely follow-up on unpaid claims.
Retroactive review of registration data to aid in the assurance of clean claim submittal.
Accurately document claim actions taken within patient account/claims.
Serve as a resource for problem solving issues related to registration, demographic and insurance errors.
Work payer correspondence including support tickets, emails and phone messages from internal and external contacts.
Work collaboratively with Coding, Provider Enrollment and Cash Posting team as well as coworkers, Team Leads, Managers and practice staff to resolve claim and account issues.
Assist Patient Accounts Team as needed with incoming and outgoing patient calls to resolve and collect on a patient statement.
Adh! ere to the HIPAA guidelines regarding confidentiality relating to the release of financial and medical information.
Additional duties as assigned by Manager
Qualifications:
- Associates Degree in Business, Accounting or Finance preferred.
- Certified Biller preferred.
- Strong knowledge on third party payors guidelines and procedures particularly.
- 1-3 years experience and/or knowledge of insurance denials process.
- 1-3 years health care claims processing, and follow-up background.
- 1-3 years billing experience and insurance knowledge (eligibility, registration, etc.)
- Must have knowledge of ICD-9 and CPT-4 coding.
- Prior experience with AthenaNet billing system is strongly preferred.
- Customer / Patient Account Services Skills.
- Successfully drives results while balancing multiple priorities and tasks.
- Attention to detail.
- Possess strong verbal and wr! itten communication skills.
- Possess strong analytical skills a! nd computer skills; including Outlook, Excel and Word.
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If you were eligible to this job, please email us your resume, with salary requirements and a resume to SMG - Haverhill Area.
If you interested on this job just click on the Apply button, you will be redirected to the official website
This job starts available on: Fri, 23 Aug 2013 18:43:06 GMT
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