Demo

VA Benefits Advisor NAS Lemoore

Calibre Inc
Hopkinsville, KY Full Time
POSTED ON 1/25/2025
AVAILABLE BEFORE 4/12/2025

Summary Description :

Accounts Receivable Specialist is responsible for providing timely and efficient follow-up with all payer types for all unpaid claims and presenting data to appropriate parties.

Daily Responsibilities :

  • Researches and resolves unpaid, denied, or pending claims and invoices.
  • Responsible for the appeal process including filing appeals and monitoring appeals through completion.
  • Responsible for accurate information and data input on all patients, insurance, notes, and claims.
  • Generates invoices for client billing.
  • Negotiates with the responsible party on unpaid accounts.
  • Assists in identifying potential billing issues.
  • Participates in staff meetings and offers appropriate and constructive suggestions and criticism.
  • Utilizes any extra time during decreased workload to assist other employees that may have extra workloads.
  • Organizes work in a manner to keep up with all the details of the job requirements.
  • Demonstrates competency in skills and knowledge pertinent to the practice of accounts receivable.
  • Demonstrates working knowledge of insurance carrier rules and regulations as pertaining to reimbursement.
  • Consistently performs routine tasks in an independent manner, while exercising good judgment during those instances when help may be needed, or a supervisor needs to be informed.
  • Other duties as assigned.

Required Skills

  • Seeks continual professional development by updating current knowledge base regarding private insurance reimbursements.
  • Utilizes proper chain of command when addressing concerns or problems.
  • Proficient computer skills with Microsoft Excel.
  • Excellent Communication (Verbal & Written) Skills.
  • Data entry skills.
  • Strong work ethics and confidentiality.
  • Time management skills and attention to detail.
  • Required Experience

  • High school diploma or equivalent
  • 2 years of relevant healthcare AR and denials experience required.
  • Experience working with claims billing preferable.
  • Qualifications :

  • Seeks continual professional development by updating current knowledge base regarding private insurance reimbursements.
  • Utilizes proper chain of command when addressing concerns or problems.
  • Proficient computer skills with Microsoft Excel.
  • Excellent Communication (Verbal & Written) Skills.
  • Data entry skills.
  • Strong work ethics and confidentiality.
  • Time management skills and attention to detail.
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