Medical Office Accounts Receivable

POSITION SUMMARY: Primarily responsible for effective collection on patient accounts, accounts receivable follow up, and reimbursement analysis.

ESSENTIAL SKILLS AND EXPERIENCE

College degree preferred AND greater than (1) year of experience in a medical accounts receivable roles such as:
Accounts Receivable Representative
Patient Collections
Working knowledge of medical, accounts receivable, collections, rejects, denials, appeals, and research billing guidelines and policies
Demonstrated knowledge of CPT, CDT, ICD-9/ICD-10, HCPCS, and ADA
Working knowledge of various reimbursement methodologies, including reimbursement reductions, fee schedule calculations and comparisons, and review of claims for correct payment
Fluency in a language in addition to English (Spanish preferred)

POSITION REPONSIBILITIES/ESSENTIAL

Review outstanding claims to determine what action needs to take place and make status calls to insurance companies
Request claims to be reprocessed where necessary or prepare and submit corrected claims to the insurance companies for payment
Review delinquent accounts and initiate appropriate collection action including telephone calls and correspondence to patients
Answer patient calls relating to questions about their bills
Update demographic and payer related information obtained from the patient
May correct errors including misapplied payments/adjustments and applying account credits
Prepare refund requests for management approval
Responsible for the generation and mailing of claims
Work payer rejects and denials