What are the responsibilities and job description for the Medical AR Specialist position at Leading MD's?
Description
Responsible for the timely submission of medical claims to insurance companies.
? Following up on unpaid claims within the standard billing cycle timeframe.
? Checking each insurance payment for accuracy and compliance with contract discount.
? Calling insurance companies regarding any discrepancy in payments if necessary
? Identifying and billing secondary or tertiary insurances.
? Reviewing accounts for insurance of patient follow-up.
? Researching and appealing denied claims.
? Answering all patient or insurance telephone inquiries pertaining to assigned accounts.
? Setting up patient payment plans and work collection accounts.
? Reviewing patient bills for accuracy and completeness and obtaining any missing
information.
? Identifying trends of denials and presenting solutions for the issue.
? Important to be a team player and have open communication.
? Need to meet productivity standards provided by company.
Job Type: Full-time
Schedule:
? Day shift
? Monday to Friday
Education:
? High school or equivalent (Preferred)
Experience:
? ICD-10: 1 year (Preferred)
? Medical Billing: 3 years (Preferred)
Work Location:
? Remote
Requirements
- Knowledge of HCFA-1500 paper claim forms and 837 electronic equivalent.
- Knowledge of insurance eligibility and benefits (deductible, copay, co- insurance).
- Knowledge of reading insurance company Explanation of Benefits and understanding rejections/denials and what to do to correct them.
- Positive, driven attitude with a willingness to go the extra mile to help patients and to help the office achieve financial and operational success.
Qualifications:
- Graduate of accredited high school or GED required.
- Minimum of two years of experience in health-related billing, accounts receivable and collections.
- Proficiency with excel and word.
- 1 year experience with electronic medical/ health record preferred.
Job Type: Full- time
Schedule:
· 8-hour shift
· Day shift
· Monday- Friday