Accounts Receivable Specialist is primarily responsible for collecting outstanding insurance and patient payments. Responsibilities also include reviewing and resolving patient insurance questions, insurance claim denials, researching payments and correspondence from payers, and preparing adjustment sheets.
Primary Position Responsibilities:
- Proactive review of open accounts receivable to determine why claims are not being paid and work toward a timely solution with the payer to guarantee payments.
- Monitor, appeal, and maintain denials and reduction in payments received from payers within the payers timeline.
- Monitor and report timely any adjustments related to bad debt and/or charity care.
- Ensure billing system has accurate and up to date notes related to accounts worked.
- Monitor managed care contracts to ensure we are being paid appropriately and timely.
- Communicate any payer issues to assigned team lead and Director Central Billing Office in a timely manner.
Qualifications:
Required: High School Diploma or Equivalent
Preferred: Associates Degree in Business Administration
Minimum Years of Experience -
Required: Two years experience in a Hospital, Physician, or Medical billing environment.
Knowledge, Skills and/or Abilities -
Required: Ability to type, use computer equipment, and other office machines (fax/copier). Should be able to maneuver through payer websites to verify coverage and check claim status.
About the company
Hunterdon Healthcare is committed to providing a full range of quality health and medical services that respond to the needs of the northwest New Jersey community.
#J-18808-Ljbffr