Role Description
Accounts Receivable Specialist follows up on outstanding balances with various insurance companies and/or patients with outstanding balances.
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Upon completion of training, this position will be eligible to work from home coming into the office as needed.
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Must live in the state of Ohio in order to work from home.
Schedule
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Monday - Friday, 8:00am to 4:30pm, eight hour shifts
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No evenings, weekends or holidays!
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Work/life balance schedules!
Benefits
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Full-time employees are eligible for health, dental and vision benefits
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Company holidays and a flexible holiday!
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Generous Paid Time Off (PTO) Package
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Additional accrual increase after 1 year of service with Dayton Physicians!
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401K
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Scrub Allotment
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Yearly Bonus Program
DPN Core Value Expectations
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C
OMPASSION: the patient is at the center of all we do
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A
CCOUNTABILITY: we hold ourselves accountable for our actions
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R
ESPECT: we show respect for others
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E
XCELLENCE with Innovation: we strive for excellence in all we do
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S
ERVICE through Collaboration: we provide service to our patients, team members and community.
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Smile, make eye contact and greet with energy!
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Restate what you are hearing. Listen patiently and compassionately to complaints.
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Give full attention. Turn away from the computer screen and face the person you are conversing with.
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Explain any potential delays in service and provide frequent updates.
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Empathize (feel empathy for someone)
Essential Duties and Responsibilities
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Reviews all outstanding claims filed to designated payers and/or patient accounts for which payment or denial has not been received within 28 days of billing.
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Utilizes reporting capabilities of practice management system to generate reports and data used in working claims in the various aging buckets.
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Utilizes the capabilities of practice management system to correct and/or appeal as necessary.
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Utilizes the designated payer websites for effective follow-up and claim rebills.
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Utilizes the designated payer provider telephone centers for assistance in claim follow-up and collections.
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Attend webinars as well as various teaching seminars sponsored by designated payers.
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Receives from payment posting all zero pay and denied claims for research, correction and rebill, write-off, or transfer to patient responsibility.
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Contacts patients with regard to any unpaid claims; maintains accurate documentation within the practice management system of actions taken to resolve outstanding claims.
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Maintains compliance with FDCPA at all times.
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Follow all health care privacy and safety rules and adheres to Dayton Physicians Core Values.
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Other duties as assigned.
Required Education and/or Experience
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High School Diploma or GED.
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At least two (2) years of previous experience working in a Medical Billing Office; 3-5 years medical billing experience is preferred.
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Excellent oral and written communication skills.
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Strong working knowledge of CPT, HCPCS, ICD-10 coding, Microsoft Office, including Word, Excel and Outlook.
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Knowledge of claims processing in a managed care environment, commercial payer environment along with government payers.
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Knowledge of the Fair Debt Collections Practice Act (FDCPA) and other legal policies regarding collecting debt from patients.
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Experience with a Medical Practice Management system is preferred.
General Skill Requirements
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Excellent oral and written communication.
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Working knowledge of Microsoft Office, including Word, Excel and Outlook.
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Experience working with a Practice Management system.
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Attendance and punctuality are essential requirements of this position to provide excellent customer service to both our internal and external stakeholders.