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Job Description

Job Title: Accounts Receivable Specialist

Pay Range: Beginning at $15.00-$22.00

Hours: 8 hours per day, Monday –Friday

Reports to: Accounts Receivable Manager

Supervises: N/A

Summary of the Purpose of the Job: 

The Account Receivable Specialist (ARS) position monitors and verifies reimbursement of patient visits are paid in a timely manner. This role researches pending insurance claims aging, reviews the denied insurance claims and takes corrective action to ensure maximum reimbursement of claims.

Job Duties and Responsibilities:
  • Review unpaid claims and determine follow-up actions needed for claim resolution.
  • Review and post claim denials and take immediate action to correct and resubmit claims when possible.
  • Contact insurance payers by phone or web portal to research denied claims and resolve denials in a timely manner.
  • Review accounts for accuracy and provide feedback and documentation to coworkers.
  • Prepare detailed information to Client Account Managers on a routine basis.
  • Respond to all requests and projects related to accounts in a timely manner.
  • Provide education and share knowledge to sustain performance metrics.
Performance Metrics:
  • Maintaining account AR aging distribution within benchmark levels.
  • Volume of claims worked on a daily basis.
  • Daily communication skills with the clients, patients and Vantage team members.
  • Maintain denial work in progress (WIP) accounts to a status of less than 24 hours-old by the end of each week.
  • Create, develop and maintain clients and payers
 Skills:
  • Ability to work independently and evaluate priorities across multiple accounts.
  • Good written and verbal communication skills.
  • Professionalism and extraordinary customer service during all interactions.
  • Ability to strategize, analyze and execute duties independently
Experience:
  • General knowledge and understanding of the Revenue Cycle Management (RCM) processes and insurance claim processing.
  • One year working in a medical business office performing authorizations and patient account management.
  • A thorough understanding of MSOffice (Word, Excel, Outlook) software required.
  • Data entry and 10-key in a medical billing software required.
  • Previous medical software billing experience.
Education:
  • High school diploma required.
  • Medical terminal course preferred.
  • Registered Health Information Tech (RHIT) associates degree from accredited organization desired.
  • Bachelors of Science degree in business, health care or accounting strongly pref