Insurance Account Receivable Specialist

Job Description

Insurance Accounts Receivable Specialist

Performs numerous financial computations, posts, updates, and maintains the organization’s accounts receivable records with accurate data.

§ Research and processes customer claims of invoice payment.

§ Research and processes charge backs, returns, and bad checks.

§ Resolves accounts receivable inquiries.

§ Assists with related special projects, as required.

§ Participates in Improvement of Operational Performance (IOP) activities.

§ Participates in traditional and e-learning programs.

§ Ensures compliance with Company policies and procedures.

§ Works effectively with other company employees, managers, and departments.

§ Performs all job functions with Company Mission, Vision, and Goal Statements in mind.

§ Customer Service.

§ Updating Insurance Information.

§ Verifying Insurance Information for Medicare beneficiaries.

§ Enter Customer Information.

§ Manage Medicare AR report.

§ Enters Orders for billing purposes to Medicare.

§ Explaining benefits to customers.

§ Initiating prior authorizations.

Education, Certificate, and Licensure

High school diploma or general education degree (GED); three months industry related work experience and/or training; or equivalent combination of education and experience. No professional certificate or licensure required, although preferred.

Requirements

Must demonstrate practical knowledge of computers, software, and products applicable to the industry. Additionally, the applicant is expected to demonstrate the ability to quickly acquire knowledge of departmental program structure (Mission, Vision, and Goal Statements) and department policies and procedures. Must be able to work a flexible schedule, as needed, and have the ability to demonstrate effective time management skills while working independently with minimal supervision.

Math Ability

Must demonstrate proficient ability to apply mathematical concepts such as probability and statistical inference to such tasks as frequency distribution, fractions, percentages, ratios, and proportions to practical situations.

Supervisory Requirements

This job has no supervisory requirements or authority.

Reasoning Ability

Must demonstrate proficient ability to understand, interpret, and apply an extensive array of complex mathematical instruction and information through analytical collection of factual data to produce logical solutions and/or conclusions where only limited standardization exists.

Language and Communication Ability

Must demonstrate proficient ability to foster professional working relationships utilizing strong interpersonal and communication skills organization-wide. Applicants must demonstrate the ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, and/or governmental regulations and effectively present and debate any assortment of information relevant to their area of expertise and designated responsibilities and duties with members of the Company and on behalf of the Company when appropriate. Additionally, the applicant must demonstrate the ability to write reports, business correspondence, and procedure manuals.

Physical Demands

Must demonstrate the ability to work in a standard office setting and use standard office equipment, which may include but is not limited to: computers, calculators, and other office supplies. Requires stamina to maintain attention to detail despite interruptions; strength to lift and carry files weighing up to 10 pounds; vision to read printed materials and a computer screen; hearing and speech to communicate in person and over the phone; manual dexterity to perform job functions and stamina to frequently sit for extended periods of time. Additionally, the employee is occasionally required to walk and lift and/or move up to 50 pounds.

Technology Skills

Must demonstrate proficient ability and practical knowledge of personal computer use, word processing software, spreadsheet software, accounting software, inventory software, payroll systems, internet software, database software, and contact management systems. Additionally, the applicant must demonstrate the ability to quickly and proficiently learn to use the company specific software programs and any other handheld or technology tools as required for completing job tasks.

Must demonstrate proficiency and productivity in a fast-paced environment with unscheduled interruptions while maintaining acceptable judgment, responsibility, and assumption for decisions, consequences, and results. Applicants must demonstrate good organization, time management, and communication skills. Occasionally an adjusted work schedule is required to accommodate company needs.

This job description has been assessed and found to have no potential risk of occupational exposure to hazardous chemicals, blood, or other potentially infectious materials. However, during the course of some duties it may be necessary to wear personal protective equipment (PPE). Before performing any activity that requires the use of PPE, proper training and certification is required.

Pay: $21.00 - $25.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Retirement plan
• Vision insurance

Work Location: In person

Salary : $21 - $25