What are the responsibilities and job description for the Accounts Receivable Specialist (Healthcare) position at Emergicon LLC?
Position location - Terrell, TX, 75160
The A/R Specialist is responsible for reviewing claims, following up with insurance carriers and patients, and reporting trends in accounts receivable to management.
ESSENTIAL DUTIES AND RESPONSIBILITIES• Process claims over 60-days in a timely manner
• Work assigned denials and correspondence
• Utilize clearinghouse and insurance portals to check claim status
• Identify and report trends detected to management
• Prepare corrected claims and appeals, as needed
• Process inbound and outbound calls as needed to insurance carriers
• Comply with all state and federal collections and HIPAA regulations
• Perform other job-related duties as assigned
KNOWLEDGE, SKILLS, AND ABILITIES
• Strong professional communication skills
• Detail-oriented with strong organizational skills
• Knowledge of managed care plans, insurance processes, and medical terminology
• Familiarity with reimbursement fee schedules (Medicare and Medicaid)
• Understanding of refund processes and requirements
• Ability to establish and maintain cooperative working relationships with staff
• Ability to prioritize tasks and manage multiple assignments simultaneously
• Proficiency with accounts receivable software, insurance portals, and Microsoft Office applications
EDUCATION AND EXPERIENCE
• High school diploma or equivalent required; associate’s degree or higher preferred.
• Experience in Medicare A/R, commercial insurance, appeals, correspondence, and denials preferred.
Emergicon requires satisfactory pre-employment background check and drug screen.
Salary : $20 - $21