Accounts Receivable Specialist (Invoicing & Collections)

Job Description

Performs various collection actions including denial management, contacting patients and insurance companies by phone, correcting and resubmitting claims to third party payers

Understands steps to escalation

Gathers, compiles, and analyzes billing and statistical analysis

Manage daily Q-Report and revenue invoicing

Claims are submitted based on payer guidelines, e.g., Medicare

Working knowledge of medical terminology

Ability to understand insurance contracts for billing and collection purposes

Ability to prioritize and handle multiple tasks and projects concurrently

Demonstrated knowledge and proficiency in the principles, procedures and best practices related to this position

Thorough understanding of payers and payer contracts

Ability to identify trends, issues, problems

Respond to correspondence, phone calls, patients, and third-party requests

Maintain productivity standards and collection goals

Analyze client accounts for balances owed

Establishes payment plans to help clients manage payment of bills

Rebills insurance companies or other third parties to secure payment for clients

Coordinate collection of outstanding monies not received

Generate collection phone calls and correspondence for billing

Coordinate referral of bad debt accounts to collection agencies

Communicate regularly regarding the status of receivables, authorizations, and encounter issue trends

Prepare, review, and send patient statements per client guidelines

Knowledge of client payer contracts

Perform other duties as required

Assume ownership of various administrative functions as assigned from the company’s Account Receivable Manager

Requirements

Bachelor’s degree in related field such as accounting or business preferred

2+ years in previous work experience as an accountant

Experience working with Microsoft programs esp. Excel is required

Experience in QuickBooks preferred