Description

Job Title: Accounts Receivable Specialist

Department/ Location: Billing-555 Winderley Place Orlando, FL 32751 -travel not expected

Terms: Permanent Position/ Full time/ M-F 8 hours daily/ Pre-approved Overtime

Position Summary: As an Accounts Receivable Specialist, is responsible for collecting payments for outstanding accounts by researching denials, partial payments, and over-payments to reconcile patient accounts. 

Principal Duties and Responsibilities: 

• Collect outstanding balances as quickly as possible by applying collection best practices as defined by management.
• Utilize worklist to target aged balances for collection to meet and maintain performance goals as set by management. 
• Evaluate denials and partial payments to determine if further reimbursement is valid.
• Effectively participate during team meetings, payer discussions/meetings and conference calls/meetings as needed. 
• Research and correct cash application of misapplied funds and payments on account for patient accounts as necessary.
• Identify and request adjustments to patient accounts as necessary, while following departmental procedures. 
• Alert management to irregularities, patient trends and areas of concern. 
• Maintain communication with direct manager and promptly follow-up with other departments as needed especially when seeking further information on denied claims. 
• Works in conjunction with the front desk staff and surgical schedulers to ensure clean billing. 
• Performs miscellaneous job-related duties as assigned. 
• Participates in educational activities and attends monthly staff meetings.
• Manage and utilize time effectively, assist others within the department, to ensure department meets required service levels for improved customer satisfaction results. 
• Maintains strict confidentiality; adheres to all HIPAA guidelines/regulations. 
• Assists in development and communication for key areas to improve accuracy and understanding of processes. 
• Treat patients, physicians, co-workers and others with dignity and respect.

Qualifications & Skills:

• Minimum of 1-year relevant experience and/or training, or equivalent combination of education and experience. 
• Proficient in computers and relevant software applications and practice management technology. 
• Possession of strong problem-solving skills and sound judgement. 
• Ability to collaborate across departments and build effective relationships with internal and external customers to achieve goals. 
• Thorough understanding of medical billing, third party payers, Medicare, and Medicaid. 
• Working knowledge of CPT and ICD10 codes, HCFA 1500, UB40, HIPAA, billing, and insurance regulations.
• Ability to achieve team goals while demonstrating organizational values and utilizing resources responsibly. 
• Ability to be proactive and take initiative. 
• Exhibit high level of quality through attention to detail and monitoring work.
• Possession of strong organizational skills. 
• Excellent verbal and written communication, as well as exceptional interpersonal communication skills. 
• Ability to work independently on assigned tasks, as well as to accept direction on given assignments. 
• Deals with confidential information and/or issues using discretion and judgement. 

Preferred Experience:

• Prior insurance medical AR experience, ophthalmology preferred but not required. 
• Customer service.

Work Environment & Physical Demands:

• Work is performed in an office setting. 
• Physical demands of position: sitting, standing, walking, typing, phone communication, face to face conversation.