AR SPECIALIST (43220)

Position Type Full Time

Job Shift Day

Education Level High School

Travel Percentage None

Category Customer Service

Description

A busy urology practice with eighteen locations spread throughout the Dallas metroplex is looking for a customer-focused office professional to perform collections, filing claims, handle appeals, and correspondence with payers. This position is working in-office at our Mesquite business office.

ESSENTIAL DUTIES OF THIS POSITION INCLUDE:

As an Collections Specialist, candidate will be responsible for the following summary of duties:

• Prioritize tasking and utilize tasking for daily work

• Follow up on all claims from billing through final resolution

• Correct and identify billing errors and resubmit claims to insurance carriers

• Review insurance EOB and initiate appeals and as necessary

• Respond to Payer’s request for additional information/documentation

• Posting account adjustments as a result of written communication from third parties (i.e. certain contractual adjustments)

• Answer incoming calls and assist insurance carriers with their requests

• Communicate patient responsibility with patient

• Collect on patient balances and/or establish payment plan

• Review weekly schedules for patients with upcoming appointments, contact patient and communicate to front desk arrangements made to collect balances

• Return mail (patient statements), contact patient to obtain correct billing address and/or payment

• Answer incoming calls and assist patients with their billing inquiries

Qualifications

Job Requirements:

• High School Diploma

• Knowledge of CPT Coding, ICD10 and use of appropriate modifiers

• Experience working appeals and composing appeal letters

• Knowledge of bundling and global periods

• Experience working in Microsoft Word & Excel, & NextGen is a PLUS!

• Experience working Medical collections, both insurance and patient

• Urology and medical terminology

• Knowledge of insurance plans, claims, and billing processes

Job Type: Full-time