What are the responsibilities and job description for the AR Specialist position at Sanctuary Recovery Centers?
Job Description
Job Description
The AR Specialist will be responsible for managing the accounts receivable including denied and underpaid claims for behavioral health services. The ideal candidate must have a strong understanding of AR processes, healthcare billing, particularly within the behavioral health setting, and be familiar with regulatory standards like HIPAA and HCPCS / CPT / ICD-10 coding.
Essential Job Duties and Responsibilities
- Review outstanding AR to determine necessary action.
- Investigate and resolve denied or unpaid claims by communicating with insurance companies, patients, and internal team.
- Utilize payer portals to maximize reimbursement.
- Prepare and submit denied claims as targeted project files to payers when necessary.
- Identify problematic claim trends and contract violations, report findings to the RCM Manager.
- Submit appeals as necessary.
- Contact payers regarding recoupment payments, overpaid accounts, and missing checks; initiate dispute process as needed and report all findings to the RCM Manager.
- Review underpayments and overpayments, summarize findings and report to the RCM Manager.
- Update insurance information in patients accounts as necessary.
- Work in conjunction with other billing staff to ensure timely filing.
- Attend departmental meetings / conference calls.
- Provide feedback to management as needed.
- Understands and adheres to Sanctuary Recovery Centers compliance standards.
- Performs other duties as assigned.
Qualifications : Education, Experience, and Skills
Required :
