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