What are the responsibilities and job description for the Accounts Receivable Specialist - Certified Coder position at AMSURG?
Duties and
Responsibilities
Responsible for accuracy and timeliness of billing directly related to accounts receivable.
Qualifications
Required
Requirements
(environmental)
Center Director
Supervises
Not applicable
Contacts
$25-35/hour
Responsibilities
- Philosophy
- Supports the center’s ideology, mission, goals, and objectives
- Performs in accordance with the center’s policies and procedures
- Follows the center’s standards for ethical business conduct
- Conducts self as a positive role model and team member
- Recognizes patients’ rights and responsibilities and supports them in performance of job duties
- Participates in center committees, meetings, in-services, and activities
- Communication
- Communicates effectively and professionally with patients, visitors, physicians, and coworkers
- Interacts with others in a positive, respectful, and considerate manner
- Financial practices
- Uses center resources appropriately and avoids wasteful practices
- Reports wasteful practices
- Analyzes work area and makes recommendations for potential cost-effective improvements
- Compliance program
- Contributes to the progress and development of the center’s adopted compliance program
- Performs according to established compliance policies and procedures
- Performance-improvement program
- Contributes to the progress and development of the center's adopted performance-improvement program
- Performs according to established performance-improvement policies and procedures
- Safety/risk-management program
- Adheres to safety policies and procedures in performing job duties and responsibilities
- Reports observed or suspected safety violations, hazards, and policy/procedure noncompliance to the safety officer or other designated person
- Professional competence
- Participates in continuing education and other learning experiences
- Shares knowledge gained in continuing education with staff
- Maintains membership in relevant professional organizations
- Seeks new learning experiences by accepting challenging opportunities and responsibilities
- Welcomes suggestions and recommendations
- Insurance billing duties
- Codes each encounter, enters all codes and charges into the practice management system and sends claims to insurance companies
- Runs daily batch report for billing and balances to daily schedule of fees charged
- Understands and abides by billing compliance regulations
- Submits claims to patient’s secondary insurance (including primary carrier’s EOB) after receiving correct payment from primary carrier
- Collections duties
- Runs reports on outstanding insurance A/R on a daily/weekly basis
- Calls insurance companies to determine status on all accounts more than 45 days old
- Sends any necessary copies or supporting documentation required by insurance companies
- Notes contact with insurance companies in the practice management system
- Runs reports on outstanding patient A/R on a daily/weekly basis
- Makes telephone contact with all patients with balances more than 45 days old with no payment
- Notes contact with patients in practice management system
- For patient account balances of more than 90 days with no payment, advises Center Director, who will determine whether account is to be turned over for collection
- Sends approved accounts to collection agency
- If it is determined that a refund is due to the insurance company, completes refund-request form with supporting documentation, copy of EOB, etc. and submits to Center Director.
- Billing calls/correspondence
- Receives all calls related to patient bills, whether from patients or insurance companies
- Answers billing questions in a clear and polite manner; pulls patient charts/computer files as necessary to answer questions
- Forwards all complex problems or issues and any questions regarding refunds to Center Director
- Answers all letters from insurance companies regarding questions or requests for information
- Understands patient confidentiality laws and what signatures are required to release information
- Follows up with Center Director on any problem claims regarding coding/charges
- Performs other miscellaneous office/clerical duties as needed
Responsible for accuracy and timeliness of billing directly related to accounts receivable.
Qualifications
- Cooperative work attitude toward co-employees, management, patients, visitors, and physicians
- Ability to promote favorable center image with physicians, patients, insurance companies, and general public
- Ability to make decisions and solve problems
Required
- High school diploma or GED certificate
- Training/courses in business office activities
- Third-party-payer billing experience
- Strong ethical and moral character references
- Certified Coder
- Two or more years’ billing experience
- ASC billing experience
Requirements
- Accuracy
- Attention to detail
- Timeliness
- Organization
- Little supervision needed to accomplish task
- Attendance
- Punctuality
- Ability to follow instructions
- Ability to meet deadlines
- Ability to sit, stand, and walk
- Visual and auditory acuity for frequent use of computer, telephone, and occasional use of other office equipment
(environmental)
- Well lit and ventilated, with non-hazardous and hazardous equipment
- Category III: exposure to bloodborne pathogens and may encounter chemical hazards
Center Director
Supervises
Not applicable
Contacts
- Patients
- Patients’ family/significant others
- Physicians and physician office personnel
- Insurance company personnel
- Center personnel
- Administration
$25-35/hour
Salary : $25 - $35
