EMERGICON
Accounts Receivable (A/R) Specialist - Healthcare
EMERGICON, Terrell, Texas, United States, 75161
Accounts Receivable (A/R) Specialist - Healthcare
The A/R Specialist is responsible for reviewing claims, following up with insurance carriers and patients, and reporting trends in accounts receivable to management.
Essential Duties And Responsibilities
Process claims over 60-days in a timely manner
Work assigned denials and correspondence
Utilize clearinghouse and insurance portals to check claim status
Identify and report trends detected to management
Prepare corrected claims and appeals, as needed
Process inbound and outbound calls as needed to insurance carriers
Comply with all state and federal collections and HIPAA regulations
Perform other job-related duties as assigned
Knowledge, Skills, And Abilities
Strong professional communication skills
Detail-oriented with strong organizational skills
Knowledge of managed care plans, insurance processes, and medical terminology
Familiarity with reimbursement fee schedules (Medicare and Medicaid)
Understanding of refund processes and requirements
Ability to establish and maintain cooperative working relationships with staff
Ability to prioritize tasks and manage multiple assignments simultaneously
Proficiency with accounts receivable software, insurance portals, and Microsoft Office applications
Education And Experience
High school diploma or equivalent required; associate’s degree or higher preferred.
Experience in Medicare A/R, commercial insurance, appeals, correspondence, and denials preferred.
Emergicon requires satisfactory pre-employment background check and drug screen.
Seniority level Associate
Employment type Full-time
Job function Accounting/Auditing
Industries Medical Practices, Hospitals and Health Care, and Veterinary Services
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Essential Duties And Responsibilities
Process claims over 60-days in a timely manner
Work assigned denials and correspondence
Utilize clearinghouse and insurance portals to check claim status
Identify and report trends detected to management
Prepare corrected claims and appeals, as needed
Process inbound and outbound calls as needed to insurance carriers
Comply with all state and federal collections and HIPAA regulations
Perform other job-related duties as assigned
Knowledge, Skills, And Abilities
Strong professional communication skills
Detail-oriented with strong organizational skills
Knowledge of managed care plans, insurance processes, and medical terminology
Familiarity with reimbursement fee schedules (Medicare and Medicaid)
Understanding of refund processes and requirements
Ability to establish and maintain cooperative working relationships with staff
Ability to prioritize tasks and manage multiple assignments simultaneously
Proficiency with accounts receivable software, insurance portals, and Microsoft Office applications
Education And Experience
High school diploma or equivalent required; associate’s degree or higher preferred.
Experience in Medicare A/R, commercial insurance, appeals, correspondence, and denials preferred.
Emergicon requires satisfactory pre-employment background check and drug screen.
Seniority level Associate
Employment type Full-time
Job function Accounting/Auditing
Industries Medical Practices, Hospitals and Health Care, and Veterinary Services
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