[Hiring] Accounts Receivable Specialist II @61st Street Service Corp

Role Description

The Accounts Receivable Specialist II is responsible for follow-up work to collect on all open and unpaid accounts with insurance companies and third parties. Responsibilities include:

• Inquiring about unpaid claims.
• Appealing denied claims with insurance companies.
• Contacting patients or account guarantor.

The Accounts Receivable Specialist I must exhibit professional and courteous behavior at all times during communications.

Job Responsibilities

• Researches root issue of denial and applies knowledge of payer policies to pursue proper course of appeal or follow up to obtain payment.
• Reviews account history for continuous follow up.
• Addresses incoming correspondence and responds timely to ensure prompt resolution.
• Prepares correspondence to insurance companies, patients, and/or guarantors as necessary.
• Contacts insurance companies and/or patients/guarantors through phone contact, correspondence, online portals, and other approved means to obtain status of outstanding claims and submitted appeals.
• Documents clearly in billing system the claim issue and course of action taken on every account worked.
• Performs charge corrections based on payer and institutional policies.
• Performs demographic and insurance coverage updates on account as appropriate and bills new insurance as appropriate.
• Performs other job duties as assigned and required.

Qualifications

• High school graduate or GED certificate is required.
• A minimum of 1 year experience in a physician billing or third party payor environment.
• Candidate must demonstrate a strong customer service and patient-focused orientation.
• Ability to understand and communicate insurance benefits explanations, exclusions, denials, and the payer adjudication process.
• Experience in Epic/electronic billing systems preferred.
• Knowledge of medical terminology, diagnosis, and procedure coding preferred.
• Previous experience in an academic healthcare setting preferred.

Requirements

• Hourly Rate Ranges: $24.76 - $33.17.
• Salary offers will fall within these ranges based on a variety of factors, including but not limited to experience, skill set, training, and education.

Benefits

• Competitive comprehensive benefits package to eligible employees.
• Healthcare and various other benefits including Paid Time Off to promote a healthy lifestyle.

Company Description

At 61st Street Service Corporation, we are committed to providing our clients with excellent customer service while maintaining a productive environment for all employees. We are an equal employment opportunity employer and we adhere to all requirements of all applicable federal, state, and local civil rights laws.