What are the responsibilities and job description for the Accounts Receivable Specialist position at SimonMed?
Join the fastest growing outpatient radiology practice in the Nation- SimonMed Imaging! Our commitment to excellence and improving patient care paired with the best-in-class technology allows us to be an industry leader in the constantly evolving health care environment. Secure your spot now and take advantage of a unique career opportunity to advance your skills while working alongside a dedicated team of board-certified subspecialty radiologists. We can’t wait to meet you!
LOCATION: Remote
Travel % (if applicable): N/A
ESSENTIAL FUNCTIONS:
- Submit corrected claims and/or appeals to appropriate insurance.
- Ensure claims are being sent to correct insurance and/or address.
- Complete a high level on claims: 80-100 a day.
- Investigate claims for ensure they are processed correctly.
- Follow up on claims to ensure payment received or if any other course of action is necessary.
- Follow up with insurance if needed.
- Call insurance companies when necessary to complete a claim/have over phone reprocessing of claim.
- Refund patients and or insurance companies when appropriate by adding to refund log.
- If working in RCM services desk, ensure you are completing tickets coming in that are assigned to you, 50 ticket if applicable.
- Completing special AR projects (not limited to refund and complaint logs) in a timely manner, when assigned.
- When applicable mail out reconsiderations and/or appeals.
- Clear discrepancies in various bank reconciliations and refunding the account if necessary.
- Provide backup documentation of refund checks or refund receipts as requested by patient.
- Demonstrates competency in the performance of job-related skills appropriate to his/her customer populations and departmental services while providing excellent customer service.
- Utilizes and operates equipment and mechanical devices which provide for a functional, effective, and safe environment.
- Adheres to policies, procedures, guidelines relative to departmental operations.
- Working internal chats if assigned.
- Excellent communication and interpersonal skills, with a drive to exceed expectations.
- Solid work ethic; ability to research, analyze data, and demonstrate effective problem solving.
- Sense of urgency regarding quality of work, results oriented.
- Self-motivated and able to work with minimal supervision in a team environment.
- High degree of professionalism and comfort working with internal and external customers.
- Problem-solving, critical thinking skills with the ability to research and analyze data.
OTHER DUTIES: Please note this job description is not designed to cover or contain a comprehensive listing of all activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time or without notice.
BENEFITS: Your health, happiness, and future matters! At SimonMed Imaging, we offer medical, vision and dental insurance, significant Imaging discounts, 401(k) eligibility, paid holidays plus PTO, Sick Time, opportunity for growth, and much more!
MINIMUM QUALIFICATIONS:
Education:
- HS Diploma or one year of work-related experience.
- Certificate of billing or one year of work-related experience. (preferred)
- Associate degree or equivalent from two-year college (highly preferred)
Experience:
- Familiar with PC and Microsoft Office software such as: Word, Excel, Outlook, Teams, and SharePoint.
- Familiar with Imagine EMR system (preferred)
PHYSICAL DEMANDS: This position may require duties including lifting and carrying up to 40 pounds, sitting for prolonged periods of time, with frequent standing and walking.
DRESS ATTIRE: Business Casual or scrubs dependent on department
We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. Employment is contingent upon successful completion of drug and background screening. Some positions will require a favorable driving record.
