[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.
• Exhibiting professional and courteous behavior at all times during communications.

Qualifications

• High school graduate or GED certificate is required.
• A minimum of 1 year experience in a physician billing or third party payor environment.
• 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

• Research root issues of denial and apply knowledge of payer policies to pursue proper course of appeal or follow-up to obtain payment.
• Review account history for continuous follow-up.
• Address incoming correspondence and respond timely to ensure prompt resolution.
• Prepare correspondence to insurance companies, patients, and/or guarantors as necessary.
• Contact 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.
• Document clearly in billing system the claim issue and course of action taken on every account worked.
• Perform charge corrections based on payer and institutional policies.
• Perform demographic and insurance coverage updates on accounts as appropriate and bill new insurance as appropriate.
• Perform other job duties as assigned and required.

Benefits

• Competitive comprehensive benefits package including healthcare.
• Paid time off to promote a healthy lifestyle.