Accounts Receivable Specialist

The Accounts Receivable Specialist performs under general supervision a variety of moderately complex to complex tasks related to the management of all receivables.

Responsibilities

• Conducts thorough research of claim status to identify issues and takes corrective measures to obtain payment and ensure accuracy of future claim submissions.
• Works closely with payers to determine additional or supportive documentation that may be needed to facilitate prompt payment and provide documentation in a timely manner.
• Researches insurance information to accurately determine benefits and ascertain primary or secondary status for Medicare and Medicaid.
• Works in coordination with service locations to obtain information needed for clean claim submission and additional follow up documentation as needed.
• Conducts analysis of denials and partial payments to determine trends that may need to be addressed either in revenue cycle management, operationally, or with the payer.
• Resolves denial and payment issues with resubmission of claims and processing of appeals.
• Communicates effectively and frequently with supervisor regarding accounts.
• Completes special projects and other assignments deemed necessary.

Qualifications