Medical AR Specialist - Dublin, United States - Columbus Oncology & Hematology

Description

Columbus Oncology and Hematology is looking for a full-time Medical AR Specialist to join our team Columbus Oncology and Hematology Is a private practice that offers services at three locations throughout the Columbus area. The Medical AR Specialist is responsible for following up with insurance carriers on unresolved and aged claims. This position is responsible for investigating, analyzing and resolving denied insurance claims.

This position will be ONSITE at our Dublin business location. This is not a Remote or Hybrid position.

Essential Duties:

• Proven experience in reviewing, researching and following up on insurance denials
• Proven experience in submitting customized appeals using precise arguments based on clinical documentations, third-party payer medical policies, and contract language.
• Ability to navigate billing system tools to identify aged outstanding balances.
• Ability to respond to payer requests for medical documentation in a timely manner.
• Review and research outstanding patient balances.
• Clearly document any and all follow-up activities on relevant encounters and/or accounts as required to provide a historical timeline of actions taken.
• Identify, review, research, and resolve credit balances ensuring the correct disposition of funds.
• Clearly document any and all follow-up activities on relevant encounters and/or accounts as required to provide a historical timeline of actions taken.
• Communicate identified denial issues to designated area Team Leads and management.

• Two years experience in a physician practice business office performing accounts receivable follow-up and collection activities.
• Overall knowledge of healthcare revenue cycle and associated accounts receivable follow-up process.