What are the responsibilities and job description for the AR SPECIALIST position at CHC Solutions, Inc.?
Job Details
Description
CHC Solutions Inc is currently seeking an experienced Healthcare Accounts Receivable Specialist to join our team in our Pittsburgh (Robinson Township) office.
Who we are:
CHC Solutions Inc., is a Family of companies providing comprehensive medical equipment and supplies and patient-focused service. Our goal is to improve the patient experience and support individuals across the continuum of care.
Family brands include Continuum, Burmans Medical Supplies, bioCARE and HealthSource. CHC Solutions provides options for wound care, urology and enteral/nutritional supplies as well as incontinence, orthopedics and ostomy products.
In the Healthcare Accounts Receivable Specialist role, you will do the following:
- Comply with all current government regulations and professional standards, including HIPAA, the fair debt collection act and voluntary compliance plans.
- Maintain high level of professionalism and dedication to excellent customer service during all communications with payers, customers, vendors, and CHC Solutions employees.
- Review underpaid claims; Identify accuracy of payments per payer contracts/fee schedules. Apply appropriate write off code to balances of accurately paid claims for adjustment. Notify team lead of pricing discrepancies in Fastrack PMS.
- Utilize Fastrack, Claims Clearinghouse Waystar and payer specific websites to correct claim errors in response to rejected claims.
- Identify claims that have not been processed by the payer. Verify correct filing and resubmit claims that have not been processed by insurance company.
- Contact patient, physician office, and internal resources to obtain information and documentation to facilitate collection of claims.
- Identify claims that cannot be reimbursed and apply appropriate write off request codes.
- Follow up on outstanding AR that has not been processed for full payment until the claim is resolved.
- Utilize collections expertise to identify and escalate payer issues.
- Write appeals to insurance companies to overturn denied or short paid claims.
- Answer incoming patient pay/billing phone calls. Respond to all phone calls and billing inquires in accordance with the fair-debt collections act and HIPAA guidelines.
- Maintain professional communication with other departments as appropriate.
Qualifications
Education, skills and abilities:
- Healthcare Administration Certificate, Bachelor Degree or 2 years minimum work experience
- One year of healthcare AR experience or equivalent education
- DME experience preferred
- Microsoft Office software
- Strong analytical and problem-solving skills
- Detail oriented
What we offer:
CHC Solutions Inc. values its employees and offers an exceptional benefits package. When submitting your resume, please include your salary requirement.
