What are the responsibilities and job description for the Accounts Receivable Specialist / Medical Scheduler position at Dubuque Orthopaedic Surgeons, PC?
Overview
We are seeking a detail-oriented and organized individual to join our team. This individual would be responsible for assisting with the accounts receivable process for patients and insurance. Focusing on reviewing denials, assisting with submitting appeals, and ensuring timely reimbursements from insurance carriers. This role requires a strong understanding of insurance policies and excellent communication skills to represent the practice effectively. This position helps strengthen revenue and overall financial operations related to billing and collecting revenue for medical services. Beginning with scheduling an appointment and ending when the account balance is resolved through reconciliation of insurance payments, contractual adjustments, write-offs, or patient payments.
Responsibilities
- Billing: Review claims alongside Medical Coder to receive reimbursement from insurers and provide bills for patients with assistance from other Medical Billers
- Appointment scheduling: Determining the need for services, along with collecting patient name, contact information, insurance coverage details, and scheduling patients
- Registration: Completing patient intake, including insurance verification, front-desk collections, and collecting patient demographics
- Accounts receivable (A/R) follow-up: Identifying and following up on unpaid charges with insurance companies and patients. Monitor and manage aging reports, focusing on claims that are 30, 60, and 90 days old to recoup outstanding reimbursements
- Insurance Knowledge: Utilize in-depth knowledge of Medicare/Medicaid and commercial insurances, including Anthem BCBS, Medical Associates, and UHC, to effectively navigate denial trends and policies.
- Implement Processes: Streamline, implement, and train other employees for the billing and collection cycles to improve cash flow; accurately preregistering, making appointments for, and scheduling patients, collecting existing balances, processing payments, and questioning insurers when they deny claims. As approved by the practice administration
- EOBs and ERAs: Review Explanation of Benefits (EOBs) and Electronic Remittance Advices (ERAs) to identify patterns and trends in claim denials. Ensure all ERAs are updated and accessible via Trizetto and post payments
Skills
- Proficiency in medical terminology, particularly related to ICD-10 coding.
- Experience working in a medical office or hospital setting is preferred.
- Strong clerical skills with attention to detail and accuracy.
- Excellent phone etiquette and communication skills for client interactions.
- Ability to work collaboratively within a team while managing individual responsibilities effectively.
Education and Experience
- One year customer service experience (Required)
- Medical office or healthcare experience: 1 year (Required)
- CPT / ICD-10: 1 year (Preferred)
- RHIT Certification (Preferred)
- Degree in Health Information Management (Preferred)
If you are passionate about contributing to the financial health of our organization while providing excellent service, we encourage you to apply for this vital role within our team as an Accounts Receivable Clerk / Medical Scheduler.
Job Type: Full-time
Pay: From $18.50 per hour
Expected hours: 40 per week
Benefits:
- 401(k)
- 401(k) matching
- Bereavement leave
- Dental insurance
- Employee discount
- Free flu shots
- Free parking
- Health insurance
- Health savings account
- Paid time off
- Vision insurance
- Volunteer time off
- Work from home
Medical Specialty:
- Orthopedics
- Sports Medicine
- Surgery
Schedule:
- Monday to Friday
Ability to Relocate:
- Dubuque, IA 52001: Relocate before starting work (Required)
Work Location: In person
Salary : $19