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SalaryGeneral Description
Medical Billing and AR Specialist will be well versed in all facets of an accounts receivable management system including but not limited to billing, claim corrections, reconciliation, Insurance refunds/credit balances, customer service, and follow-up. This includes reviewing claim information to ensure accuracy and provide feedback to the clinical and non-clinical areas regarding claim errors and/or denials. In addition, responsible for all other aspects of collections, resolving customer billing problems and reducing accounts receivable delinquency. Medical Billing and AR Specialist will work remotely.
Essential Functions
- Medical Billing and A/R Clean up, Collections and Review.
- Follow-up on all returned claims, correspondence, denials, account reconciliations and rebills to achieve maximum reimbursement in a timely manner with an emphasis on patient satisfaction.
- Mail correspondence to insurance carrier for payment of claims in the form of claim review and/or appeals according to carrier guidelines.
- Review and monitor assigned accounts and all applicable collection reports.
- Follow-up on claim reviews and appeals with insurance carrier.
- Scan and fax documents pertaining to patient accounts received from carrier.
- Actively searches for solutions to problems and presents ideas and recommendations to Management.
- Retroactive verification of eligibility.
- Always attempts to verify inaccurate/missing information.
- Other duties as assigned.
Qualifications & Experience
- 2-3 years of experience in Billing and AR collections; preferably in physician office setting. (Required)
- Medical Appeals and Denials: 2-3 years of experience. (Required)
- Minimum of 2 years knowledge of insurance verification and eligibility experience. (Required)
- High School Diploma or equivalent. (Required)
- Spine/Orthopedic medicine billing knowledge and experience (Preferred)
- Knowledge and experience with Novitasphere, Availity, etc. (Preferred)
- Knowledge and experience with Athena EMR. (Preferred, but not required)
- Knowledge of medical and insurance terminology.
- Ability to continuously handle multiple tasks simultaneously and work as a part of a team.
Benefits include a weekday schedule, medical insurance plan options, and a 401k retirement plan with profit sharing.
