- Adhering to policies and procedures, ensuring timely and accurate follow-up on claims, and resolving outstanding balances and denials.
- Collaborating with commercial and governmental payors to address denials and underpayments.
- Participating in collecting and documenting claims processing guidelines.
- Preparing electronic and hard copy claims for submission.
- Gathering necessary documentation for claim acceptance.
- Interacting effectively with different departments.
- Meeting or surpassing productivity and quality benchmarks.
- Maintaining open communication with colleagues, management, payors, and patients.
- Recording essential account information related to claims processing and resolution.
- Entering demographic data into billing & collections software.
- Undertaking additional duties as required.
- High School diploma or GED as a minimum educational qualification.
- At least two years of recent experience in medical collections or billing, showcasing debt collection expertise.
- Familiarity with ICD-10 coding and Federal HIPAA regulations.
- Strong analytical and problem-solving abilities.
- Proficiency in various software like Epic, Microsoft Word, Outlook, and Excel.
- Understanding of insurance claim processing and third-party reimbursement.
- Excellent written and verbal communication skills with a professional telephone demeanor.
- Capability to prioritize tasks, exercise independent judgment, take responsibility, and build effective relationships.
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Medical Accounts Receivable Specialist - Farmington, United States - Orthopedic Associates of Hartford
1 week ago
Description
**Orthopedic Associates of Hartford, P.C.** is a well-established orthopedic practice founded in 1970, with multiple office locations in the greater Hartford area. Currently, our expanding team is looking for a **Medical Accounts Receivable Specialist** with experience in Epic software to join our Billing & Collections team based in Farmington. We need someone who is not only dependable and organized but also enthusiastic and detail-oriented. It's crucial for this role to foster relationships with both internal and external customers to facilitate feedback and prompt resolution of outstanding claims.
Proficiency in various computer programs is a must, along with a good grasp of insurance payment processes to ensure accurate reimbursement. A positive 'can-do' attitude is essential for success in this position.
**Responsibilities include:**
**Requirements:**
