Medical AR Specialist - Hybrid Schedule - $20-24/HR

Job Description

Telephone insurance carrier/patient to seek resolution on accountResolve inappropriate payments with insurance carriers that are not in compliance with payer contracts or governmental agency rates on individual accountsUtilize specialized knowledge of contracts, regulatory or contractual billings guidelines to determine an account's ability to pay after initial rejection from payerCoordinate duplicate billings, coordination of benefits, medical records or clinical documents as needed to expedite payment of insurance claimsIdentify trends in payer non-compliance and inform management if not able to resolve with payerNegotiate within specified guidelines with payersEnsure secondary carrier is appropriately billed or self-pay portion is pursuedDetermine an individual's ability to pay and seeks additional assistance either through governmental programs or uncompensated care programsFollows up with appropriate staff to locate missing informationEnsure accurate and timely billing of all outstanding account balances to the appropriate third party payers and patient guarantorsMaintain necessary logsAnswer telephone calls as neededAssist with the planning and organization of departmental activities as needed and participate in said activitiesParticipate in departmental meetings as necessary.Requirements:

Qualifications

1 year of Medical AR workThorough knowledge of multi-specialty ICD-9 and CPT codingBilling and collections (both major insurance and self pay) experienceEMR KnowledgeMedicare Knowledge