Job Description
Accounts Receivable Specialist
Location : Louisville, KY (Onsite)
Full Time : Monday-Friday, Day Shift
Requirements :
- High school diploma or equivalent (required)
- Working knowledge of CPT, HCPCS, and ICD-10 coding (required)
- Advanced knowledge of denial types and resolution steps
- 3 years related experience (required)
- Strong computer and keyboarding skills
- Strong communication and problem solving skills
- Proficient with data entry and multitasking in a Windows environment
- Desired experience with Microsoft Office Software (preferred)
- Ability to meet productivity and quality standards
- Ability to communicate verbally / in writing with professionalism
- Familiar with Echo and Paceman
- Familiar with Epic
Responsibilities :
Experienced in calling payers and doing the research we well as re-processing claimsAble to complete 60 cases a day with a 90% AccuracyMonitor and execute work within the Epic Work QueuesResearch and resolve claim denials or rejections based on work team assignmentKey claim detail information into various payor websites, upload medical records to various websites to resolve denialsFollow up with correct insurance companies for claims with no response or for claims denied due to incorrect insurance information or denials for authorizations.Update charges and refile electronic or paper claims as needed. Follow up on calls or emails from Patient Financial Specialists, concerning patients requesting advanced assistance with their accounts.Inform management and relevant organizational stakeholders of correspondence and communication problems with service locations.