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

Description

Job 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 follow-up 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 third-party 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.

Visit our website at "Outsmarting Cancer One Patient at a Time"