- Work aged receivables utilizing A/R reports
- Review and assess adjudicated claims for timely and proper payment of outstanding balances.
- Research, correct, and resubmit or reprocess unpaid claims as necessary
- Verify validity of account balance by researching, reviewing and ensuring accuracy of payment and adjustment posting
- Identify liability with guarantor and transfer balances timely and appropriately
- Review and interpret Explanation of Benefits (EOB) for denials and underpayment of codes
- Research and resolve denials and underpayments with insurance carriers
- Submit carrier appeals and reconsideration requests in a timely manner
- Process insurance refund requests as necessary and according to policy and procedure
- Meet productivity goals/benchmarks as set and communicated by Billing Manager
- Serve as primary customer service representative for payer inquiries/calls and secondary for patient inquiries/calls
- Maintain confidentiality of patient information
- Work collaboratively with other Coding, Billing, Front desk and departments as needed
- Ability to type 60 words per minute preferred.
- Great customer service skills.
- Strong interpersonal, oral (includes telephone skills) and written communication skills.
- Good organizational skills and an ability to prioritize to meet deadlines.
- Complete understanding of medical reimbursement and terminology.
- Working knowledge of all standard office equipment.
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Accounts Receivable Specialist - Stockton, United States - PT Solutions Physical Therapy
Description
Job Overview & Responsibilities:
The Accounts Receivable Specialist supports PT Solutions by playing a key role in the revenue cycle process, by collecting debts from patients or insurance companies.
ESSENTIAL FUNCTIONS:
MUST HAVES:
#LI-AC2
Company Overview:Expanding Access to Quality Care
At PT Solutions, were more than colleagues; were a tight-knit community united in our mission to expand access to quality care. Our commitment to you is evident in our industry-leading professional development opportunities. From ongoing evidence-based clinical education to dedicated mentorship opportunities and an APTA-accredited Orthopaedic Residency Program, we propel our clinicians toward excellence in physical therapy, occupational therapy, speech-language pathology, and athletic training.
As we aim to be the go-to rehabilitation provider, we seek committed professionals eager to join us in that mission. A career with PT Solutions is an opportunity to shape the industry and make a lasting impact.
Lets go further together and transform care.Join the #PTSLife today
To see what #PTSLife is like, visit Instagram, Facebook, and LinkedIn.