Accounts Receivable Specialist

Job Summary

The Accounts Receivable Specialist assists patients with inquiries for the clinic and hospital billing system and reviews and submits insurance claims. The specialist monitors insurance EOB's and denials, ensuring proper payment is made. This position tracks pending eligibilities and unpaid claims and works credit balances and payment work queues.

Essential Job Functions

Reviews and monitors insurance EOB's and denials to ensure proper payment.

Reviews, edits, prepares and submits insurance claims to the appropriate party.

Assists patients with their written, telephone or in person inquiries for the clinic and hospital billing system.

Tracks pending eligibilities and unpaid claims from the work queue. Works credit balances and under payment work queues.

Acts as a back-up to co-workers as assigned.

Performs other duties as assigned or needed to meet the needs of the department/organization.

Demonstrates understanding and follows infection control policies and procedures according to standard operating procedure.

Maintains requirements for age specific competencies for the position and demonstrates the knowledge or principles of growth and developments and the skills necessary to provide patient/customer care/services.

Demonstrates knowledge and understanding of and compliance with:

All pertinent safety, health and environmental policies, procedures and guidelines.

Working safely, without causing harm or risk to self, others or property.

The work environment safety procedures and prompt reporting of unsafe practices, procedures, accidents, injuries or other safety violations to the Leader.

The use of all safety equipment and personal protective equipment.

Education & Experience

Associate's-Related Field-Required

Or

A minimum of 2 years of related experience-Required

Knowledge & Skills

Demonstrates knowledge of CPT, ICD-9, HCPCS, and revenue codes-Preferred