Accounts Receivable Specialist

JOB TITLE: A/R Specialist

DEPARTMENT: Revenue Cycle Management

FLSA STATUS: Non-Exempt

REPORTS TO: A/R Supervisor

LOCATION: Lenexa, Kansas

COMPANY OVERVIEW

MAWD Pathology Group is a physician owned pathology practice committed to excellence in patient care. Everything in MAWD’s organization – our commitment to service, the quality of pathologists and supporting staff we recruit, the accountability we require of our staff, the collegial work environment we nurture, our focus on smart business and the services we choose to offer – is shaped by our underlying commitment to excellence for our patients. It’s the MAWD Way.

POSITION SUMMARY

The A/R Specialist is responsible for expediting the proper adjudication of insurance claims. This involves researching and rebilling unpaid claims, providing necessary documentation and working with companies and patients to obtain payment. This role requires undivided attention to detail and a commitment to accuracy and thoroughness.

ESSENTIAL FUNCTIONS

• Follows up on outstanding A/R with a variety payers, including self-pay accounts

• Researches and rebills unpaid claims in a timely manner

• Manages correspondence related to insurance or patient accounts

• Contacts insurance carriers, patients or other facilities as needed to ensure maximum payment on claims

• Researches and resolves accounts appearing on follow-up and aging reports

• Works EDI transactions and ERA files, including reconciling carrier submissions, edits and rejection reports

• Presents data to appropriate parties and partners with necessary resources to develop resolution

• Answers inbound patient calls and provides assistance to callers based on their inquiry

• Participates in trainings / meetings with payers and internal departments to address trends in denials or unprocessed claims

Management reserves the right to add, modify, change or rescind the work assignments of this position as business needs warrant.

COMPETENCIES

• TECHNICAL EXPERTISE – The incumbent demonstrates the technical capability and knowledge required for this role

• QUALITY CONTROL – This role demonstrates accuracy and thoroughness and monitors own work to ensure quality

• INTERPERSONAL SKILLS – This role maintains confidentiality, remains open to others’ ideas and exhibits a willingness to try new things

PERFORMANCE MEASUREMENTS

• Independently performs tasks of a routine nature

• Consistently delivers quality work during allotted timeframes

• Understands and ensure compliance with our Data Protection policies and procedures

• Excellent core value performance

QUALIFICATIONS AND REQUIREMENTS

Education:

High School diploma or equivalent

Experience / Abilities:

• Minimum of 2 years A/R follow up experience

• Excellent organizational, communication and interpersonal skills

• Ability to management multiple priorities

• Excellent attention to detail

• Ability to work in a team environment

• Willingness to maintain confidential information

TRAVEL AND HOURS

• This position is full-time

• No travel is required with this position

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

• employee is regularly required to talk or hear

• employee frequently is required to stand, walk and use hands / fingers

• employee is occasionally required to lift office products and supplies, up to 20 pounds.

EEO STATEMENT

It is the policy of MAWD Pathology Group to provide equal employment opportunities to all individuals regardless of their race, creed, color, religion, sex, age, national origin, disabilities, veteran status, marital status, sexual orientation, military status or any other characteristic prohibited by state or federal law.