Specialist, Accounts Receivable

The primary responsibility of this position is to follow-up with insurance payers on outstanding claims, break down obstacles to payment, and accelerate cash collections.

Duties & Responsibilities :

• Responsible for follow-up and collecting on accounts in assigned inventory. Utilizes experience and follow-up strategies and tools to resolve claims and obtain payment.
• Escalates unpaid claims to payer claims supervisor as appropriate when regular follow-up efforts are not successful.
• Documents client's host system utilizing the 5 W's framework and related policies / procedures to ensure accurate and complete documentation and then copies account notes into Amplify's workflow tool
• Assigns appropriate status codes (e.g. root cause, action, etc.) in Amplify's workflow tool so trends can be identified and addressed.
• Writes first and second level appeals of all denials in effort to overturn and secure payment. Escalates payer denial and other trends to Management for further assistance.
• May also work assigned underpayments as assigned by Management.
• Maintains client and / or position specific daily productivity and quality expectations.
• Researches and analyzes any correspondence received related to assigned accounts.

Knowledge, Skills, and Abilities :

Work Experience, Education, and Certifications :

Working Conditions and Physical Requirements :