AR Follow Up Specialist - Summit Medical Group

Summit Medical Group's Corporate Office is seek an AR Follow-up Specialist to complete follow-up activities to ensure timely account reconciliation to minimize aging claims and maximize revenue cycle efficiency. This is a full time position.

Examples of Duties (List does not include all duties assigned)

• Communicates with payers, patients, and providers to ensure timely resolution of all outstanding claims (due or overpaid) via phone, emails, fax or websites or mail.
• Assists in maintaining, updating, and auditing the patient account and eligibility information.
• Coordinates with management in identification and resolution of denial trends, including timely escalation, regular updates and attending payer meetings as needed.
• Manages account reconciliations related to missing remittance, refunds required and any transfers or adjustments needed.
• Assists colleagues in department and other office personnel, as appropriate.
• Displays initiative, when appropriate, while investigating insurance pending reports and handling other assignments.
• Stays up-to-date and utilizes available payer website tools for claim and remittance functions.
• Communicates problems, questions and/or concerns to supervisor timely. 
• Keeps current knowledge of payer policy changes and internal billing policies.
• Communicates with and resolves inquiries from insurance companies, patients, and physicians regarding billing problems.
• Ensures coding is compliant and up to date.
• Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
• Attends training and other meetings as appropriate; keeps current on revisions related to registration and computer skills.
• Maintains strictest confidentiality both internally and externally.
• Actively participates in site-level Quality Improvement Activities. Each employee will contribute to the continual evaluation site performance as well as the
  implementation and measurement of improvement activities that increase the quality of care provided to patients.
• Perform special projects and other duties as needed by the management team.

Education

High School Diploma or GED required.

Experience

One-year experience in a medical billing office setting preferred.