Job Description
Job Description
JOB FUNCTIONS
- The primary responsibility of the AR Specialist is to actively work assigned clients accounts receivable, and rapidly respond telephone inquiries from patients.
- Works and coordinates with RCM to ensure smooth and efficient operation in all areas of accounts receivable
- Works necessary reports to ensure assigned client AR is actively worked & maintained
- Serves as client / patient support to assigned clients
- ACCOUNTS RECEIVABLE RESPONSIBILITIES
Works Denials Daily
File Rejected
Denial ReportIn Progress Non-PrimarySent Secondary CrossoverReview Bad Address report weeklyUpdate patients address in Centricity when report provides updated information
Those without new information, send list to practice contact with MRN # advise mail being returned need update, or log-in to EMR, any changes or updates then made to the patients account in Centricity.Bill Status Report Hold ChargesReviews charges on hold weekly, and coordinates with charge processor to ensure timely release of charges to avoid untimely filing
CLAIM SUBMISSIONS / CORRECTIONSWill review, prepare, and submit claims to third party payers (primary and secondary) according to established policies and procedures
DEMOGRAPHICSWill retrieve, review, verify benefits, and update new insurance information as needed
Move demographic files to GeBBs daily for assigned clientsSign-off on Daily Client Charge Log for demographics;Sign-off on Month-end Log by 5th business day of the monthCORRESPONDENCEReceives and processes miscellaneous correspondence from patients, insurance companies and clients within 48 hours
Accounts Receivable follow-upPulls EOB'sREFUNDSWill actively review, prepare submit;Refund requests
Account adjustmentsCOLLECTIONSINSURANCE COLLECTIONSRun Stop report monthly. The STOP report is used to identify, and facilitate successful collection of both patient and unpaid insurance claims upon completion of patients course of treatmentIdentify unpaid claims, and set reminders to actively work to a successful conclusion
Monitor patient balances, and actively move through collections process including setup payment arrangementsAGING REPORTS / COLLECTION EFFORTS EXHAUSTEDAging by Financial Class, Patient
And any other reports identified to assist in this process by RCMPATIENT COLLECTIONS :Will review, prepare and submit patient supplemental bills to patient(s)
Assist with payment arrangementsIdentify Self-pay patients for assigned clients;verify monthly eligibility with Medicaidfollow-up with practice charity statusAssists in processing credit card payments from patientsMaintain current list of medical policies for the various procedures, and or diagnosis covered by those entitiesEnsure all corporate guidelines are maintained and practiced dailyMaintain a "Team Player" attitude at all timesCommunicate professionally with management, Offshore, and peersReport Denial Trends to RCMAttend AMAC-USA WebinarsKnowledge of reading and understand an EOBOther projects as assigned
