What are the responsibilities and job description for the Medicare/Medi-Cal Accounts Receivable Specialist position at RBS?
Job Description
Title:
A/R Account Specialist II
Department:
A/R
Reports to:
A/R Supervisor
Status:
Hourly (Remote position with occasional in office time)
Job Summary
The A/R Account Specialist II supports the management of all client accounts receivable, processes patient and insurance carrier payments, rejections and other related correspondence. The A/R Account Specialist II functions as billing liaison to intermediaries, insurance carriers, patients and guarantors. The A/R Account Specialist II functions under RBS established departmental policies and procedures, maintains compassion with patients while following compliance and privacy guidelines.
This job description is not intended to be all-inclusive. Employee may perform other related duties as negotiated by management’s right to assign or reassign duties and responsibilities to individuals in this job to meet the ongoing needs of the organization.
Duties:
1. Within assigned work team, monitors accounts receivable by age from date of service and by patient.
2. Communicate with insurance carriers, patients, or medical office and hospital staff to appropriately adjudicate patients accounts.
3. Seeks assistance from direct supervisor with difficult accounts.
4. Follows strict guidelines established by RBS when taking contractual adjustments of gross charges, or writing off a charge or portion of a charge to bad debt.
5. Prevents “timely filing” denials by strict adherence to guidelines set by carrier for follow-up to denied claims.
6. Following established guidelines, utilizes the information system tools to provide an audit trail on each patient account.
7. Pays close attention to correspondence from carriers and patients with a goal toward expedient resolution to outstanding claims, and cash collections.
8. Provides assistance to other work teams as requested.
9. Adheres to work schedule, arrives to work on time prepared to begin promptly and rarely takes unscheduled time off.
10. Posts payments to patients’ accounts according to established policies.
11. Maintains strict confidentiality in all dealings related to patients, physicians, accounts and fellow employees.
12. Performs all other duties as may be necessary to support the approved business operations of RBS.
Expected Behaviors
1. Treat others with dignity and respect
2. Support and promote intra- and inter-departmental team work
3. Demonstrate an ability to problem-solve and make timely decisions
4. Consistently share knowledge and information with your Supervisor/Manager
Experience and Knowledge Requirements
High School Graduate
Minimum of 3-5yrs 3rd party medical billing knowledge
Working knowledge of medical A/R software programs preferred
PC skills (Microsoft Word & Outlook)
Excellent customer service skills with good written and verbal communication skills
Knowledge of radiology billing preferred
Medicare, Medi-Cal accounts receivable experience required
Close attention to detail
Demonstrated competence in math
Analytical skills- able to identify trends in denials and underpayments.
After probationary period - able to produce quality and productivity standards set by RBS
Proficient in drafting appeals submission of documentation resulting in payment
Some CPT and ICD-9 & ICD-10 and Correct Coding Initiative experience required
Able to reconcile and balance accounts per EOB/ERA as well as knowledge of COB and verification of allowable per fee schedule.
Train and Q/A work of others as assigned
Benefit Conditions:
- Waiting period may apply
Benefits:
- Health insurance
- Dental insurance
- Vision insurance
- Retirement plan
- Paid time off
- Flexible schedule
Schedule:
- Monday to Friday
Job Type: Full-time
Pay: $21.00 - $31.00 per hour
Expected hours: 40 per week
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- Monday to Friday
Experience:
- medical billing: 5 years (Preferred)
- Medicare/Medi-Cal accounts receivable: 3 years (Required)
Work Location: In person
Salary : $21 - $31