What are the responsibilities and job description for the Medical Accounts Receivable Specialist position at Rowan Diagnostic Clinic?
- Denial management: Analyzing claim denials, identifying the reason for rejection, and taking appropriate actions such as correcting coding errors, submitting appeals, or contacting the payers for clarification.
- Reporting and analysis: Generating reports on accounts receivable trends, identifying areas for improvement, and proposing strategies to optimize collection rates.
- Compliance adherence: Staying current with healthcare regulations, including HIPAA and coding guidelines (ICD-10, CPT) to ensure accurate billing practices.
- Payer communication: Contacting insurance companies to resolve billing issues, clarify claim status, and advocate for timely payment.
Education: 2 Year / Associates Degree, preferred
Other Skills:
- Medical billing knowledge: Thorough understanding of medical billing codes (CPT, ICD-10, HCPCS) and insurance payer guidelines.
- Strong analytical skills: Ability to review complex medical records and identify potential billing errors.
- Excellent communication skills: Effective communication with patients, insurance companies, and internal stakeholders to resolve billing issues.
- Attention to detail: High level of accuracy required to ensure correct claim submission and avoid billing errors.
- Proficiency with billing software: Familiarity with electronic health records (EHR) and billing systems to submit claims electronically.
Expected Hours of Work: Monday – Thursday – 9 hr day (Friday half day)