Accounts Receivable Specialist (Healthcare)
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Overview
Job Description
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.
Automate your job search with Sonara.
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