What are the responsibilities and job description for the Senior Accounts Receivable Specialist position at BioTAB Healthcare?
Position Summary The Senior Accounts Receivable Specialist performs resolution oriented activities with a focus on comprehensive medical billing, payment posting, and collection actions. While ensuring compliance with relevant laws, regulations and established company policies and compliance programs this role is responsible for efficient cash collections through excellent reimbursement practices, accurately posting of EFT, credit card, ACH and check insurance / patient payments, and performing accurate claim billing. Essential Duties and Responsibilities The essential functions may include, but are not limited to the following : Supports and / or performs daily duties within all areas of the department Payment Posting : EFT, credit card, ACH, live check and insurance payments Researches and evaluates insurance payments and correspondence for accuracy High volume processing and posting of insurance and patient payments Matches EOB and payment records with payments Processing write offs according to company policy Batching and scanning of payments to ensure records are on file May assist with administrative duties fundamental to successful posting or project operations Billing : Accurate and timely submission of all claims for all payers Daily claim / invoice submission for primary, secondary, & tertiary payers and / or patient statements Review rejected claims, perform correction activities and ensure resubmission as appropriate Process the billing and payment for all Veterans Affairs purchase orders and provide required documentation to the purchasing agent within the contracted timeframe Ensure all Contract Billing Partner billing is submitted to appropriate outsourced partner Collections : Timely and accurate follow up on unpaid claims or patient accounts Work assigned lists of outstanding claim balances and / or patient accounts with multifaceted issues across different payers and patients Identify trends, conduct follow up and perform root cause analysis on unpaid and underpaid insurance claims across different payers Analyze and resolve billing discrepancies on patient accounts. Ability to explain findings to patient Use persuasive written and oral communication skills to draft appeals and effectively overturn denied or underpaid claims Perform actions towards remediation of outstanding balances according to policy and procedure; including but not limited to, in depth research appeals, rebilling, calling the payer or clinic, and utilizing payer portals Identify and communicate issues or trends to the Revenue Cycle Manager or Team Lead to ensure consistent and efficient department process. Ensure adherence with federal regulatory timeframes for handling cases including acknowledging cases, resolving cases, monitoring effectuation of resolution, completing resolution letters and communicating with members and providers within required time frames Work collaboratively within the team and with other departments Be a positive role model willing to share knowledge, skills and expertise with other members of the team Supports team members with problem resolution in Management’s absence Comply with all HIPAA and privacy regulations Adhere to laws and best practices in regards to dealing with patients and patient data Perform other job-related duties as assigned Powered by JazzHR
