The Accounts Receivable Specialist supports PT Solutions by playing a key role in the revenue cycle process, by collecting debts from patients or insurance companies.

ESSENTIAL FUNCTIONS :

• Work aged receivables utilizing A / R reports
• Review and assess adjudicated claims for timely and proper payment of outstanding balances.
• Research, correct, and resubmit or reprocess unpaid claims as necessary
• Verify validity of account balance by researching, reviewing and ensuring accuracy of payment and adjustment posting
• Identify liability with guarantor and transfer balances timely and appropriately
• Review and interpret Explanation of Benefits (EOB) for denials and underpayment of codes
• Research and resolve denials and underpayments with insurance carriers
• Submit carrier appeals and reconsideration requests in a timely manner
• Process insurance refund requests as necessary and according to policy and procedure
• Meet productivity goals / benchmarks as set and communicated by Billing Manager
• Serve as primary customer service representative for payer inquiries / calls and secondary for patient inquiries / calls
• Maintain confidentiality of patient information
• Work collaboratively with other Coding, Billing, Front desk and departments as needed

MUST HAVES :

• Ability to type 60 words per minute preferred.
• Great customer service skills.
• Strong interpersonal, oral (includes telephone skills) and written communication skills.
• Good organizational skills and an ability to prioritize to meet deadlines.
• Working knowledge of all standard office equipment.

Last updated : 2024-04-28