Job Description
Medical Billing AR Specialist
Essential Job Functions:
1. Assist the medical billing manager with all aspects of the accounts
receivable process. Duties to include investigating and resolving rejections,
denials and no-response claims, working of paper correspondence, file
appeals as necessary, calling insurance companies for payment status and
duties commonly associated with the working of accounts receivable.
2. Work with healthcare providers, patients, insurance companies and staff in
the work associated with accounts receivable.
3. Maintain accurate and detailed records of work completed.
4. Develops and provides regular reports and verbal presentations of work
completed and status reports of unpaid claims.
5. Access and create provider portals necessary in the work of accounts
receivable.
6. Meet company goals and job duties given by the management team.
7. Provide additional support to the billing team as needed.
Qualificatons:
1. A minimum of 3 years of experience in medical billing with an emphasis on
working accounts receivable.
2. Familiarity with industry systems such as CAQH, PECOS, PAVE, NPI, Availity,
NaviNet, and other necessary provider portals. Familiarity with Tebra/Kareo
Medical billing software a plus. Knowledge of working with medical billing
software.
3. In-depth understanding of Medicare, Medicaid, PPO, Commercial, Medicare
Advantage and HMO medical billing practices.
4. Familiar with the following states insurance companies: Maryland, Virginia,
Washington DC, North Carolina and Delaware.
5. Ability to handle the demands of a face pace and rapidly growing company.
6. Excellent attention to detail and organizational skills.
7. Strong written and verbal communication skills.
8. Familiarity with HIPAA compliancy and ability to handle sensitive
information confidentially.
Essential Job Functions:
1. Assist the medical billing manager with all aspects of the accounts
receivable process. Duties to include investigating and resolving rejections,
denials and no-response claims, working of paper correspondence, file
appeals as necessary, calling insurance companies for payment status and
duties commonly associated with the working of accounts receivable.
2. Work with healthcare providers, patients, insurance companies and staff in
the work associated with accounts receivable.
3. Maintain accurate and detailed records of work completed.
4. Develops and provides regular reports and verbal presentations of work
completed and status reports of unpaid claims.
5. Access and create provider portals necessary in the work of accounts
receivable.
6. Meet company goals and job duties given by the management team.
7. Provide additional support to the billing team as needed.
Qualificatons:
1. A minimum of 3 years of experience in medical billing with an emphasis on
working accounts receivable.
2. Familiarity with industry systems such as CAQH, PECOS, PAVE, NPI, Availity,
NaviNet, and other necessary provider portals. Familiarity with Tebra/Kareo
Medical billing software a plus. Knowledge of working with medical billing
software.
3. In-depth understanding of Medicare, Medicaid, PPO, Commercial, Medicare
Advantage and HMO medical billing practices.
4. Familiar with the following states insurance companies: Maryland, Virginia,
Washington DC, North Carolina and Delaware.
5. Ability to handle the demands of a face pace and rapidly growing company.
6. Excellent attention to detail and organizational skills.
7. Strong written and verbal communication skills.
8. Familiarity with HIPAA compliancy and ability to handle sensitive
information confidentially.