Accounts Receivable Specialist

Job Type

Full-time

Description

Summary : The Accounts Receivable Specialist is responsible for payer-specific claim follow up to encourage stable AR metrics and revenue. THIS IS AN OFFICE-BASED ROLE.

Essential Duties and Responsibilities

• Review payer aging reports to identify issues with timeliness, accuracy, and completeness of reimbursement.
• Identify and resolve claim denial / non-payment patterns.
• Review patient balances for self-pay collections.
• Initiate claim appeals where appropriate.
• Manage rejected and invalid claims.
• Respond to patient requests regarding billing questions / concerns.
• Review credit balances for accuracy prior to generating refund requests.
• Keep abreast of changes in Medicare, Medicaid, and insurance providers regarding pre-certification procedures.
• Possess working knowledge of CPT codes, ICD10 codes and Medical Terminology.
• Uphold the CDHA mission by actively contributing to the achievement of organizational goals, supporting leadership, promoting unity and teamwork for the benefit of patients.
• Demonstrate a commitment to quality of care.
• Maintain a clear focus on patient safety in every interaction with every patient.
• Actively participate in workplace improvement to maintain a patient service excellence environment.
• Adhere to all industry standards related to infection control, patient confidentiality, and regulatory and accrediting body's requirements (i.e. HIPAA, OSHA, and AAAHC).
• Follow and comply with all safety policies.
• Additional duties as assigned within the scope of responsibility.

Requirements

To perform the job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. PLEASE NOTE : THIS ROLE IS BASED IN-OFFICE in CHARLOTTE, NORTH CAROLINA.

Education / and or Experience :