What are the responsibilities and job description for the Accounts Receivable (A/R) Specialist (Medical) position at EMERGICON LLC?
The Accounts
Receivable (A/R) Specialist is responsible for reviewing claims to ensure reimbursement by following up with insurance carriers and patients as well as
recognizing any trends in reporting and communicating those trends to the lead
and/or manager for review.
ESSENTIAL DUTIES AND RESPONSIBILITIES
- Manage all claims over 60-days on the A/R reports in a timely manner
- Work assigned denials and correspondence
- Utilize clearinghouse and insurance portals for claim status
- Report all trends detected in A/R management
- Prepare corrected claims and appeals, as needed
- Process inbound and outbound calls as needed to insurance carriers
- Follow all state and federal collections and HIPAA laws
- Other job-related duties as
assigned
KNOWLEDGE AND EXPERIENCE REQUIRED
- HS Diploma/GED
- Medical A/R experience required/EMS billing preferred
- Maintain certifications applicable to job functions
- Computer literate with ability to type a minimum of 40 WPM
- Ability to communicate effectively and in a professional manner
- Detail Oriented
- Knowledge of managed care plans, insurance, medical terminology
- Knowledge of reimbursement fee schedules (Medicare and Medicaid)
- Knowledge of refund processes and requirements
- Ability to establish/maintain cooperative working relationships with staff
- Ability to prioritize and multi-task
KNOWLEDGE AND EXPERIENCE PREFERRED
Experience in Medicare A/R, commercial insurances, appeals, correspondence, and denials is a plus.
Emergicon requires satisfactory pre-employment background check and drug screen.
Salary : $19 - $20
