What are the responsibilities and job description for the Accounts Receivable Specialist position at Salina Urology Associates?
Accounts Receivable Billing Specialist
Job Summary:
Salina Urology Associates is looking to expand our Revenue Cycle team with the addition of an Accounts Receivable (AR) Billing Specialist. The AR Billing Specialist is responsible for managing and maintaining patient and insurance billing accounts. This position ensures accurate and timely submission of medical claims, follows up on unpaid claims, and handles patient billing inquiries to support the financial health of the medical practice.
Key Responsibilities:
- Prepare and submit clean claims to insurance companies either electronically or by paper.
- Follow up on unpaid and denied claims; research and resolve billing issues in a timely manner.
- Post payments from insurance companies and patients accurately.
- Perform account reconciliations and resolve discrepancies.
- Verify patient insurance coverage and obtain pre-authorizations as needed.
- Review Explanation of Benefits (EOBs) and Remittance Advices for accuracy.
- Respond to patient and insurance company inquiries regarding billing issues.
- Generate patient statements and handle collection of outstanding balances.
- Maintain accurate records of billing activities, including payment arrangements and insurance communications.
- Work closely with front office staff, providers, and insurance companies to ensure proper billing.
- Stay current on insurance guidelines, coding changes, and reimbursement rules.
This person will also be responsible for Physician Credentialing, Procedure Estimates and Good Faith Estimates.
Qualifications:
- High school diploma or equivalent; associate degree or billing certification preferred.
- 1-3 years of experience in medical billing or accounts receivable, preferably in a clinical setting. Urology specialty knowledge a plus.
- Knowledge of CPT, ICD-10, and HCPCS codes.
- Strong understanding of insurance plans (HMO, PPO, Medicare, Medicaid).
- Excellent organizational skills and attention to detail.
- Strong communication and customer service skills.
- Ability to work independently and prioritize tasks.
Preferred Skills:
- Experience with denial management and appeals.
- Knowledge of HIPAA and medical office compliance standards.
Job Type: Full-time
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Paid time off
Schedule:
- 8 hour shift
- No weekends
Work Location: In person
