Accounts Receivable Follow-up

Job Title: Accounts Receivable Follow up

Department: Revenue Cycle

FLSA Status: Non-exempt

Date: 3/14/2023

Position Summary

This position is primarily responsible for insurance collections, follow-up calls, verifying payment accuracy, and appealing insurance balances. Oversight of all accounts receivables and responsible to maintain detailed and accurate account documentation and escalate payer issues to ensure timely reimbursement of medical claims.  The individual will need to complete position responsibilities by following established guidelines and protocols within the appropriate time frame, and must be flexible with his/her work schedule.  This position involves discretion and independent action within prescribed limits.

Essential Duties & Responsibilities

• Responsible for the daily follow-up of both electronic and paper claims; this includes all resolution of any billing errors. 
• Obtain additional information needed to appeal all denied or underpaid claims.
• Appeal all claims that process out of network incorrectly.
• Coordinate with the coding department on all claims processed as non-emergent. 
• Ensure that all patient accounts are properly and completely documented with the department’s documentation requirements established by management.
• Ensure that all accounts are worked timely and documentation is kept up to date. 
• Review EOBs for proper reimbursement, denials, and appeals. 
• Ensure productivity guidelines are met daily as set forth by management. 
• Maintain productivity reports via excel spreadsheets.   
• Make requests to medical billing unit for re-filing or any other billing inquiries. 
• Ensure delivery of excellent customer service through communication, and coordinating with other departments to resolve issues.
• Complies with all applicable policies and procedures to meet company standards.
• Perform other duties as assigned.

Qualifications

EDUCATION & EXPERIENCE

• High school diploma required
• 3-5 years of experience in medical insurance collections/appeals
• Excel intermediate experience
• Excellent communication skills with internal and external clients

LANGUAGE/MATH/REASONING ABILITY

• Ability to read, analyzes, and interprets general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public
• Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent: draw and interpret bar graphs
• Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form

COMPUTER SKILLS

•  Intermediate computer skills

CERTIFICATE/LICENSES