- Handle complex and high-dollar cases/accounts.
- Determine resolution, research the root issue and pursue a course of appeal or follow-up to obtain payment.
- Address incoming correspondence and prepare correspondence to insurance companies, patient and/or guarantor.
- Contact insurance companies/patients/guarantors to obtain the status of outstanding claims and submitted appeals.
- Document claim issue and course of action taken.
- Elevate billing and collection problems to Supervisor as needed.
- Perform charge corrections.
- Review account history for third-party sponsorship.
- Assist supervisor/manager with any assigned functions.
- Assist with training support of new hires.
- Perform demographic/insurance coverage updates on the account and bill new insurance as appropriate.
- High school graduate or GED certificate is required.
- A minimum of 2 years experience in a physician billing or third-party payor environment.
- Candidate must demonstrate the ability to understand and navigate contracts, insurance benefits, exclusions, and other billing requirements as well as claim forms, HMOs, PPOs, Medicare, Medicaid, and compliance program regulations.
- Candidate must demonstrate strong customer service and patient-focused orientation and the ability to understand and communicate insurance benefits explanations, exclusions, denials, and the payer adjudication process.
- Experience in Epic and or other electronic billing systems is preferred.
- Knowledge of medical terminology, diagnosis, and procedure coding is preferred.
- Previous experience in an academic healthcare setting is preferred.
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Account Receivable Specialist III - Fort Lee, United States - 61st Street Service Corp
Description
Career Opportunities with 61st Street Service Corp
Current job opportunities are posted here as they become available.
Account Receivable Specialist III #Full Time
The Accounts Receivable Specialist III is responsible for follow-up work to collect on all open and unpaid accounts with insurance companies and third parties. Responsibilities will include supporting unit supervisor and manager in assigned duties, assisting staff with complex cases, inquiring about unpaid claims, appealing denied claims with insurance companies, and contacting patients or account guarantor. The AR Specialist III must exhibit professional and courteous behavior at all times during communications.
Job Responsibilities:
Job Qualifications:
Hourly Rate Ranges: $ $32.69
Note: Our salary offers will fall within these ranges based on a variety of factors, including but not limited to experience, skill set, training, and education.
61st Street Service Corporation
At 61 st Street Service Corporation, we are committed to providing our clients with excellent customer service while maintaining a productive environment for all employees. The Service Corporation offers a competitive comprehensive benefits package to eligible employees; including Healthcare and various other benefits including Paid Time off to promote a healthy lifestyle.
We are an equal employment opportunity employer and we adhere to all requirements of all applicable federal, state, and local civil rights laws.
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