Patient AR Generalist - Tampa (NOT REMOTE)

Overview

The Patient AR Generalist is responsible for managing the collections on assigned accounts at Corporate.  The selected individual will ensure policies and procedures related to billing and reimbursement activities are followed, payment disputes, claim appeals and patient balances. This position is accountable for achieving related operational goals and attaining sustainable results focusing specifically on accounts receivable. The Patient AR Specialist interacts directly with Patients, Office Managers, Coast’s Legal Department and District Managers, to coordinate resolutions to patient concerns received at the support office. These concerns may stem from billing issues across one or more dates of service. This position works under the Revenue Cycle Department to achieve the Company’s short- and long-range business goals, revenue, and profitability objectives.

Essential Duties and Responsibilities

•General support of the Collections team and field personnel on A/R issues, such as patient disputes or collections. 

•Work assigned aging reports to ensure timely payments, fee schedule disputes are identified with insurance companies, and ensure cash posting is accurate.

•Assist offices on patient disputes and collection of balances.

•Maintain at least 99% of collections annually.

•Serve as a liaison between the Patient, Office, Coast Dental Provider, Coast Dental Legal Department, as well as field leadership.

•Detailed account auditing for billing purposes, using Explanation of Benefits (EOBs), sales receipts, or other credible sources of information pertaining to the issue at hand for any given patient account.

•Documentation of all interactions with Patients, Office Managers, District Managers, and/or  any Coast Dental Field personnel within the Practice Management System.

•Providing recommendations for improvements to business operations.

•May be called upon for specific Revenue Cycle projects/taskforces.

•All other duties and responsibilities as assigned.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are Specialist of the knowledge, skill, and/or abilities required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

Qualifications (Experience, Education, Licensure, Certification)

•Minimum of 2 years of medical or dental collections experience. 

•Effective problem solving and analytical skills: ability to take an analytical approach to complex problems, synthesizing diverse information.

•Maintain strict confidentiality with sensitive patient information.

•Collaboration amongst team members.

•Proficient in written and oral communications, always demonstrating professionalism and taking accountability for actions.

•Microsoft Windows computing knowledge.

•Able to work independently, while reporting on progress to direct supervisor(s) with excellent digital organizational skills.

•Ability to accurately audit patient records and accounts to resolve disputes, balances, or billings concerns.

•Strong organizational skills and attention to detail.

•To perform this job successfully, an individual must possess proficient knowledge of internet software, spreadsheet manipulation via Microsoft Excel, word processing software via Microsoft Word, Outlook, and PowerPoint.

•Bilingual in Spanish and English is a plus (not required).

Working Conditions

The Patient AR Generalist will work in areas that are highly visible and designed and furnished to make a good impression.  Most work stations are clean, well-lighted, and relatively quiet.  Work is primarily sedentary in nature.

Limitations and Disclaimer

The above job description is meant to describe the general nature and level of work being performed; it is not intended to be construed as an exhaustive list of all responsibilities, duties and skills required for the position.