What are the responsibilities and job description for the AR Specialist - Healthcare - Remote position at Prelude Fertility?
The AR Specialist is responsible for billing and follow-up of accounts according to documented procedures. Includes but is not limited to : following up on claim status, billing and re-billing of claims, credit balance resolution, denial management, following up on aging accounts, and maintaining up to date account information.
Essential Responsibilities :
- Monitors claim status and records in system daily for commercial insurance billing.
- Ensure timely collection of outstanding A / R and perform a variety of clerical and accounting functions to resolve billing issues of submitted claims
- Review EOBs, assist in verifying patient coverage if needed, and assist with patient billing inquiries through a billing queue
- Conducting outbound calls to insurance companies and / or patients to reconcile account issues and outstanding account balances
- Facilitates and initiates appeals to insurance companies for higher payments and other appeals as needed.
- Handles correspondence from payers to ensure all information required for claim processing is provided.
- Review and resolve credit balances or unassigned money remaining on an account.
- Provides customer service and follow through on account questions.
- Assists with Special Projects as needed.
Education and / or Experience :
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