What are the responsibilities and job description for the Accounts Receivable Specialist position at Coffey Health System?
Purpose of Job Position
he Billing/Accounts Receivable Specialist is responsible for a variety of accounts receivable duties. Aging analysis of insurance claims with follow up of unpaid claims, claim denials and problem solving for Medicare, BlueCross, Commercial and Medicaid payers.
The Billing/ Accounts Receivable Specialist is required to build a courteous rapport with insurance carriers and represent Coffey Health System in a professional manner.
The Account Receivable Specialist is responsible for clear, detailed communication with the clinical and billing staffs and with payers and clients regarding various insurance payments, credentialing and other claims related issues.
Responsibilities may also include researching and resolving client insurance claims which are denied or uncollected and, also, working with the clinical staff members to resolve billing, charge and coding problems. A team effort both within the billing department and with other departments is expected, in order to reach a resolution of optimal outcome.
Other special projects may be assigned. Below is a list of specific routine duties outlined for the Account Receivable Specialist.
Account Receivable Specialist Assigned Duties
1. Work unpaid or under paid claims from the AR Aging report, denial file, and mailed correspondence to bring accounts to resolution ( Leave note in the Healthland system with information gathered and progress on each account worked )
2. Run Aging reports from the Healthland AR module to identify priority unpaid claims and alleviate timely filing issues when possible.
3. Download or create unbilled claims for processing.
4. Create and file secondary claims that have been unprocessed by the biller.
5. Identify recurring issues that slow the billing process and or create errors resulting in frequent denials. Identify payer claim trends and requirements for clean claim submission.
6. Work with insurance companies, in a courteous manner, to reprocess claims that were not properly processed and or obtain information needed to complete and re submit corrected claim information.
7. Request Medical Records and supply proper paper work to accompany records to the insurance carrier.
8. Compose appeal letters to accompany denial letters as required for resolution
9. Investigate pre-authorizations on procedures after receiving denials.
10. Contact appropriate department for resolution of coding/ billing errors. After receiving feedback or notification that error has been corrected, make changes as directed and perform follow up to make sure new bill has gone out correctly.
11. Review/ Determine Coverage and eligibility information to make sure proper payment is received.
12. Perform Insurance set up as new insurances are discovered or reported to billing department.
13. Review account disputes with guarantor via phone or walk in with courtesy and professionalism.
14. Review accounts with walk in patients, take payments, write receipts and set up payment arrangements.
15. Review accounts via phone, take over the phone payments and provide receipts for posting of payment.
16. The AR specialist is required to provide customer support and patient satisfaction. The Billing/Account Receivable staff represents CHS in all actions that are taken verbally and technically.
17. All billing staff members are required to adhere to the code of conduct and HIPAA privacy. Professionalism and courtesy is expected in all aspects of every billing department position.
Educational Requirements
Must possess, as a minimum, a High School Diploma
Previous background in Medical Billing and claims follow up preferred but not required.
Experience
Experience in Medical Billing preferred but not required.
CPT/ICD10 Education preferred but not required.
Basic use of Word and Excel preferred but not required.
Job Type: Full-time
Pay: $14.82 - $21.92 per hour
Expected hours: 40 per week
Benefits:
- AD&D insurance
- Dental insurance
- Disability insurance
- Employee assistance program
- Employee discount
- Flexible spending account
- Health insurance
- Health savings account
- Life insurance
- Opportunities for advancement
- Paid sick time
- Paid time off
- Referral program
- Retirement plan
- Tuition reimbursement
- Vision insurance
Schedule:
- 8 hour shift
Work Location: In person
Salary : $15 - $22
