Accounts Receivable Specialist

Overall Responsibility:

The AR Specialist calculates and prepares estimates for procedures, calculates requests for Out of Network approval, responds promptly to all attorney requests in regards to lien agreements and is responsible for maintaining and following-up on all lien Accounts Receivable balances.

Key Tasks and Responsibilities

Essential Functions:

1. Calculates and prepares accurate estimates to maximize up-front cash collections by calculating patient's co-pays, deductibles, and co-insurance. Provides patients with personalized estimates of their financial responsibility based on their insurance coverage or eligibility prior to service for both Hospital and Pain Center services.
2. Review scheduled appointments and contacts patient prior to service to advise of possible financial responsibility for scheduled procedures and/or make payment arrangements for past due or bad debt balances in adherence to the hospital Collection Policy.
3. Prepares estimates for procedures upon requests from attorneys.
4. Provide billing and transaction documents to attorneys upon request.
5. Maintain and complete appropriate follow-up on Accounts Receivable aging with regards to Lien account balances.
6. Calculate expected payment for account resolution of Lien Agreements.
7. Review and calculate requests for Out of Network approval for surgical procedures, prior to service.
8. Manage recurring debit/credit card payments to include denied transactions and expired transactions for new increased payment plan.
9. Cross-trains (as needed) to proficiency in other areas of Patient Services Department. Fills in as needed for breaks, illness and vacations or coverage of shifts.

High School diploma or equivalent. 3 -5 years of Accounts Receivable experience within healthcare revenue cycle. Proficiency with computer including MS Office Suite Must be organized, detail oriented, ability to multi-task and work well with others. Healthcare and / or insurance billing, processing preferred. 1-2 years of preparing estimates preferred.