The Accounts Receivable (“AR”) Specialist is responsible for payer follow-up on claims. An AR Specialist must comply with applicable billing standards and be able to operate in a team-oriented environment that strives to provide superior service.

Essential Functions and Tasks:

• Follow up on all claims to ensure appropriate reimbursement for our clients.
• Process assigned AR work.

Post electronic and manual insurance payments.

• Develop plan to complete work lists by assigned due date.
• Call plans on work lists for claim status.
• Reviews accounts to determine appropriate follow-up action.
• File appeals on claim denials and underpayments as appropriate.
• Reports address and/or filing rule changes to the manager.
• Check system for missing payments.
• Properly notates patient accounts.
• Review each piece of correspondence to determine specific problems.
• Research patient accounts and give estimates on upcoming procedures.
• Take appropriate actions (adjustments, letters, phone insurance, etc.).
• Scan correspondence and index to the proper account.
• Respond to insurance company claim inquiries.
• Meets daily production goals.
• Other duties as assigned.

Qualifications • High School Diploma or GED. • One year in data entry field. • One year in medical billing, anesthesia preferred. • Intermediate level knowledge of medical billing rules, such as coordination of benefits, modifiers, Medicare and Medicaid and understanding of EOBs. • Must be able to prioritize and accomplish objectives in a timely fashion.