This is an on-site position located at the Birmingham Business Office
Summary: Under general supervision, an AR Account Follow-Up Specialist is responsible for account follow-up for all assigned accounts, resolving billing problems and answering patient inquiries. Uses collection techniques to keep accounts receivable current including monitoring for delinquent payments. The Account Follow-Up Specialist will review insurance claims and take appropriate action including completion of submissions, reconsiderations, appeals, and denial management to ensure payment is received timely.
Essential Duties and Responsibilities:
* Performs audits of patient accounts to ensure accuracy and timely payment.* Follows up on insurance billing to ensure timely receipt of payments.* Demonstrates the ability to deal with patients and insurance companies regarding sensitive financial matters and recapture unpaid balances.* Receives and resolves patient billing complaints and questions; initiates adjustments as necessary; follows up on all zero payment explanations of benefits and exercises all options to obtain claim payments.* Reviews credit balance reports for correct recipient of refund.* Performs reconciliation of refund accounts; attaches documentation and forwards to supervisor to process refund checks.* Identifies problems on accounts and follows through to conclusion.* Responds to insurance companies requests for information in a prompt and professional manner.* Reviews EOBs to ensure proper reimbursement of claims and reports any problems, issues, or payor trends to supervisor.* Prepares write-off requests with appropriate documentation and submits to supervisor.* Processes insurance/patient correspondence.* Works with provided aging to monitor patient account aging and follows up appropriately.* Maintains confidentiality in regard to patient account status and the financial affairs of clinic/corporation.* Other relevant duties as assigned* Demonstrated knowledge of the federal, state, and local regulatory requirements around medical billing and coding as well as CMS and payer regulations.* Ability to work independently.* Able to manage multiple projects at once working efficiently and effectively under tight deadlines.* Experience with oncology billing experience highly desirable.Requirements
* High school diploma* 1 plus years of experience•* Experience in medical billing /insurance processing and balancing accounts
