Medical Accounts Receivable Specialist

Company: Allegiance Mobile Health
Location: Georgetown
Posted on: May 31, 2021

Job Description:

Position Title: Medical Accounts Receivable Specialist

Reports To: Billing Manager

FLSA Status: Non-Exempt

Updated: 5/2021

SUMMARY: This position is responsible for the daily processing and review of claims to Medicare, Medicaid and other third party insurance companies in support of the Revenue Cycle department. As an Accounts Receivable Specialist you will also be responsible for timely follow-up on claims and communicating and working with payer(s) and patients to resolve their accounts.

ESSENTIAL DUTIES AND RESPONSIBILITIES: (Responsibilities include, but not limited to)

• Reviews previous billed claims at the 30th day after submission to identify any unprocessed or unpaid claims. Responsible for notation in the billing software regarding unpaid claims and procedures followed.
• Tracks and trends activity in their specific area. Communicates any changes to their Manager.
• Responsible for responding to patient inquires. This will include making and receiving phone calls and correspondence.
• Follows HIPAA guidelines regarding the dissemination of patient information in the billing process.
• Attains and continuously maintains/expands their knowledge of Medicare, Medicaid and third party insurance benefits, deductibles, co-pays and exclusions, as well as, specific details relating to the insurance assigned to the specialist.
• Provides clear documentation of all activity generated on the accounts in their respective areas of responsibility.
• Files appeals with supporting documentation as appropriate.
• Perform other duties as required by manager.

KNOWLEDGE AND SKILLS:

• Attention to detail.
• Possesses intermediate knowledge of Medicare, Medicaid and third party payers.
• Knowledge of computer and office equipment.
• Ability to maintain records and files.
• Outstanding communication skills.
• Continuous focus on quality.
• Experienced professional with outstanding time management skills.
• Requires a demonstrated knowledge of claim adjustment reason codes.
• Requires experience with accounts receivable functions including CPT and ICD-10 coding.
• Requires experience with filing and processing appeals for Medicare, Medicaid or third party insurance claims.

PHYSICAL REQUIREMENTS:

• Works around standard office conditions, repetitive use of a keyboard at a workstation, and use of manual dexterity.

MINIMUM QUALIFICATION:

• High School Diploma required, Associate Degree preferred.
• Minimum 2 years of experience performing medical billing, medical coding, verification or accounts receivable management.

Other Duties:

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Other duties, responsibilities and activities may change or be assigned at any time with or without notice.

Allegiance is an EEO employer as defined by the EEOC.

Keywords: Allegiance Mobile Health, Georgetown , Medical Accounts Receivable Specialist, Other , Georgetown, Texas