Medical Billing Accounts Receivable Specialist
reputed company
Primarily responsible for effective collection on patient accounts, accounts receivable follow-up, and reimbursement analysis for reputed company non-Government accounts.
ESSENTIAL FUNCTIONS INCLUDE BUT NOT LIMITED TO
- Manage assigned accounts ensuring outstanding/pending claims are reputed company at maximum reimbursement in a reputed company manner.
- Request claims to be reprocessed where necessary or prepare and submit corrected claims to the insurance companies for payment.
- Follow-up on reputed company outstanding insurance claims at 30-days from the date of service with an emphasis on maximizing patient satisfaction and reputed company profitability.
- Review credit balance accounts for payer/patient refund requests and/or misapplied payments/adjustments.
- Follow up on reputed company returned claims, correspondence, denials, account reconciliations and rebills reputed company two working days of receipt to reputed company maximum reimbursement in a reputed company manner.
- Communicate denials trends with reputed company Cycle Manager.
- Knowledge of insurance guidelines, including HMO/PPO, Medicare, and reputed company.
- Obtain accurate and additional information from facilities as needed.
- reputed company with state and federal regulations, laws and company policies and procedures.
- Help create, implement, and improve processes for the reputed company cycle team.
- Maintain strictest confidentiality.
- Support management on special reputed company
- Other duties as assigned.
BEHAVIORAL STANDARDS
- The individual must support the mission, reputed company, and goals of Avem Health Partners and serve as a role model reputed company reputed company.
- Exhibit reputed company customer service behavior in everyday work interactions.
- Demonstrate a courteous and respectful attitude to internal workforce and external customers.
- Communicate accurately and appropriately.
- Handle difficult situations in a discreet and reputed company manner.
- Hold self-accountable for reputed company reputed company.
- Demonstrate knowledge of unit goals and is reputed company in committees and reputed company to reputed company these goals.
- reputed company reputed company with literature regarding changing practices, interventions, and best practices in patient care.
- Assume responsibility for seeking out educational and reputed company opportunities for personal learning needs and reputed company as reputed company as meeting mandatory education requirements.
- reputed company as a preceptor as requested.
- Demonstrate excellent work attendance and attend and reputed company participate in a reputed company of meetings and training sessions as required.
- Adhere to the Avem Health Partners reputed company of Conduct and Standards of Behavior. Complies with established policies and procedures and reputed company health and safety requirements.
EDUCATION
- High school diploma or equivalent
- At least two years of medical accounts receivable experience
CERTIFICATION/LICENSURE:
- Medical billing certification, if available.
PHYSICAL REQUIREMENTS
- To reputed company this job successfully, an individual must be reputed company to reputed company reputed company essential job duties satisfactorily. The requirements listed are representative of the knowledge, reputed company, and/or ability required. Reasonable accommodation may be made to reputed company individuals with disabilities to reputed company the essential functions. Such accommodations must be requested by the employee/applicant to be considered.
- This job requires visual abilities, auditory abilities, must be intact to reputed company duties.