Insurance Accounts Receivable Specialist - Gilbert, United States - IRONWOOD PHYSICIANS,P.C.

IRONWOOD PHYSICIANS,P.C.
IRONWOOD PHYSICIANS,P.C.
Verified Company
Gilbert, United States

3 weeks ago

Mark Lane

Posted by:

Mark Lane

beBee recruiter
Description

Insurance Accounts Receivable Specialist

Ironwood Cancer & Research Centers provides a superior cancer care environment with a full spectrum of cancer related services for patients. Our multi-disciplinary team approach includes surgical oncology, medical oncology, radiation oncology, women's centers, diagnostic imaging services, social service support, nutritionist, integrative services, and genetic counseling.


Mission Statement:

To serve the community by providing quality, comprehensive cancer care which respects the values and needs of each individual.


Overview:
We are looking for a qualified and experienced medical insurance accounts receivable specialist.

The Insurance A/R Collector will be responsible for working A/R accounts, following up and reviewing all open claims, including aging reports.

This is a full-time position working 40 hours per week, Monday - Friday schedule. This position is at our Central Billing Office in Gilbert Arizona.


Essential Duties and Responsibilities:


  • Complete all daily, weekly and monthly checklists.
  • Reviews accounts and/or followup documents for outstanding accounts receivable issues.
  • Review Aging (60+) Reports and follow up as needed.
  • Review and appeals all underpaid, unpaid and denied claims. Working oldest and largest accounts first.
  • Resubmits insurance claims that have received no response or are not on file, in a timely manner according to each insurance's contracted filing limits.
  • Contacts patient's insurance and/or thirdparty organizations by telephone, online, correspondence or meetings to resolve issues impairing reimbursement and secure proper reimbursement for billed services.
  • Performs accurate and timely appeals via phone or written to ensure accurate payer fee schedule reimbursements obtained for all services performed.
  • Reviews payer websites for updates regularly and reports to supervisors or other staff as needed.
  • Communicates to physicians, nurses, benefit coordinators or other employees in a professional manner for any patient payer issues affecting patient care.

Knowledge and Skills:


  • Working knowledge of NCCN guidelines and CCI edits.
  • Knowledge of appealing claims with payers chemotherapy related drugs, supplies utilized and SNF, LTC and Hospice in relation to insurance benefits.
  • Knowledge of governmental, legal and regulatory provisions related to collection activities.
  • Knowledge of CPT, Dx, HCPCS coding a plus.
  • Knowledge of Centricity/G4 systems preferred.
  • Knowledge of medical terminology.
  • Knowledge of basic mathematics.
  • Able to be in a seated position, talk on the phone, repetitive keyboard usage and clarity of vision at 20 inches or less.

Education and Qualifications:


  • Minimum of 3 years in the healthcare reimbursement field preferred.
We offer a competitive salary and a comprehensive benefit package including health insurance, 401(k) and a caring work environment. We are an E.O.E.
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