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Accounts Receivable Specialist-Medical Billing

Client First RCM LLC
Orwigsburg, PA Full Time
POSTED ON 12/15/2022 CLOSED ON 5/12/2023

What are the responsibilities and job description for the Accounts Receivable Specialist-Medical Billing position at Client First RCM LLC?

Account Receivable Job Summary

We are looking for an organized and experienced multi-specialty Account Receivable Representative to join our organization.

  • The A/R Representative will be responsible for all aspects of follow up and collections, including making telephone calls, accessing payer websites. The ideal candidate will be well-versed in billing software, medical insurance regulations, and an expert at responding to patient and insurance inquiries. The A/R Representative will also be responsible for maintaining patient confidentiality, handling personal information, and accurately inputting patient data into the system.

A/R Duties and Responsibilities

  • Identify issues or trending and provide suggestions for resolution.
  • Accurately and thoroughly documents the pertinent collection activity performed.
  • Review the account information and necessary system applications to determine the next appropriate work activity.
  • Verify claims adjudication utilizing appropriate resources and applications. Initiate telephone or letter contact to patients to obtain additional information as needed.
  • Perform appropriate billing functions, including manual re-bills as well as electronic submission to payers.
  • Edit claims to meet and satisfy billing compliance guidelines for electronic submission.
  • Manage and maintain desk inventory, complete reports, and resolve high priority and aged inventory.
  • Participate and attend meetings, training seminars and in-services to develop job knowledge. Participate in the monthly, quarterly, and annual performance evaluation process with their supervisor.
  • Respond timely to emails and telephone messages as appropriate.
  • Communicate issues to management, including payer, system, or escalated account issues.

Qualifications

Minimum Education/ Licensures/Qualifications

  • HS/Diploma GED equivalent
  • 6mo- 1 years of Healthcare Insurance Collections
  • Must have strong AR follow up experience
  • Follow Up service is designed to increase Revenue Collection for Hospitals and Physician offices. The process begins after the Doctor’s biller creates and sends Health Insurance Claims (Electronic/ Paper claims or Manual HCFA forms) to various Insurance companies. Depending on the transmission type and length of time since submission we begin our follow-up:

Electronic Claims: Follow-Up begins 10 days after submission

Paper/HCFA Claims: Follow-Up begins 20-45 days after submission

Additional Information

Advantages of this Opportunity:

  • Competitive salary, negotiable based on relevant experience
  • Benefits offered, Medical and PTO
  • Fun and positive work environment
  • Flexible Monday-Friday work schedule

Job Type: Full-time

Pay: $15.00 - $18.00 per hour

Benefits:

  • Health insurance
  • Paid time off

Schedule:

  • Monday to Friday

Ability to commute/relocate:

  • Orwigsburg, PA 17961: Reliably commute or planning to relocate before starting work (Required)

Experience:

  • ICD-10: 1 year (Preferred)

Work Location: One location

Salary : $15 - $18

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