Medical Accounts Receivable Specialist

Welcome to Suburban Gastroenterology Ltd (SGI)! SGI is a thriving single specialty medical practice with an attached state-of-the-art ambulatory surgical center located in the heart of Naperville, IL. We are a team of dedicated physicians and advance practice providers focused on treating gastrointestinal illness, colon cancer screening, liver disease and obesity. We provide a supportive and collaborative work environment with room for professional growth.

We are currently seeking a meticulous and detail-oriented Medical Accounts Receivable Specialist to join our dynamic team. The Medical Accounts Receivable Specialist will play a crucial role in ensuring the timely collection of outstanding medical bills, minimizing profit loss, and working closely with patients, insurance companies, and internal staff to resolve payment questions and issues efficiently. Strong customer service and organizational communication skills are essential to this position.

Responsibilities

• Manage accounts receivable by following up on unpaid or improperly paid claims and outstanding balances
• Review and analyze patient accounts to identify delinquencies and discrepancies.
• Contact insurance companies and patients to resolve billing issues and facilitate/negotiate payment to increase the number of successful collections on outstanding debt
• Verifying patients’ insurance coverage
• Assist in handling patient payment inquiries and concerns, perform claims follow-up activities, and perform special projects as directed
• Identifying and resolving patient billing complaints, initiating and monitoring patient payment plans, and processing patient credit card payments
• Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing
• Following up on unpaid claims within standard billing cycle timeframe
• Checking each insurance payment for accuracy and compliance with contract discount
• Process refunds to insurance companies and patients in accordance with practice protocols
• Review outstanding balances for upcoming patient visits & procedures and communicating to front desk team
• Calling insurance companies regarding any discrepancy in payments if necessary
• Maintaining patient accounts by updating account information
• Assist in the preparation of financial and statistical reports related to accounts receivable and patient accounting
• Maintaining strict confidentiality in accordance with HIPAA regulations
• Keeping track of billing and collection activities
• Collaborate with the billing department to address any coding errors or discrepancies, helping to resolve billing and patient credit issues.
• Maintain accurate records of all interactions and payment agreements and be able to accurately report on all collection activity and accounts receivable status.
• Contribute to the fluctuating staffing needs of the department by being flexible in own assignments and work schedules.

Qualifications

- Bachelor’s degree or equivalent preferred; additional certification in Medical Billing or related field is a plus.

- 2 to 3 year’s proven experience in medical accounts receivable or a similar role within a healthcare setting.

- Familiarity with ICD-10 coding, DRG systems, and medical terminology.

- Proficiency in using medical office systems for billing and collections processes.

- Skilled in negotiation, patient service and problem-solving.

- Excellent verbal and written communication skills to interact professionally and effectively with insurance companies, patients, and co-workers.

- Ability to prioritize tasks, have good judgment, take initiative, work accurately and independently, and meet deadlines/targets in a fast-paced environment.

Join our team as a Medical Accounts Receivable Specialist and contribute to our mission of delivering exceptional healthcare services. If you are passionate about financial management in the healthcare industry and possess the required skills, we invite you to apply today to be part of our dedicated team. Please email cover letter and resume to HR@suburbangi.com