Accounts Receivable Specialist
Full-time
Aprima Careers
Job Purpose: Maintenance of private Insurance accounts for patient billing and to assist the AR Manager/Supervisor in managing the Accounts Receivables for the physicians/clinics/clients that are assigned to them, by reducing the AR, resolving claim denials, and following payer specific processes surrounding the AR while managing their assigned task EPM inventory.
Responsibilities: ⢠Work/Call on claims & denials to fully resolve claim ⢠Prioritize work load balance ⢠Communicate with clients via email or task message ⢠Provide feedback to team lead regarding denial trends ⢠Maintain strict confidentiality within medical practice and HIPAA compliance ⢠Maintain productivity standards and goals set by the department and/or manager. ⢠Maintain standard quality measures and goals. ⢠Attend Meetings as required and/or participate in various committees as required ⢠Other duties as assigned by, Team Lead, Manager, Director, VP RCM.
Required Skills: ⢠High school diploma/GED ⢠Preferably two yearsâ prior experience in physician professional billing (Managed Care, Commercial and or CMS Part B claims adjudication, including but not limited to: - Explanation of Benefit forms (EOB)- Credit balances (discounts and refunds)- Insurance carrier billing requirements - Collections - Familiarity of payer provider enrollment - CPT & ICD10 Coding
Core Competencies:
Accountability and Self-Management ⢠Must be detail-oriented and organized ⢠A self â starter capable of tracking to deadlines and meeting goals with little supervision required ⢠A high level of analytical and problem solving skills is expected
Team Player ⢠Ability to work autonomously and as a team player
Communication ⢠Excellent communication, customer service, and organizational skills ⢠Strong verbal and written communications
Innovation and Problem Solving ⢠Attention to detail and moderate analytical and problem solving skills is expected
Computer Skills ⢠Must possess general office skills and computer knowledge ⢠Strong working knowledge of the Aprima PM practice management system and/or GE Centricity Business system and coordinating modules, is preferred ⢠MS Excel Spreadsheet software, MS Word Processing software
Physical Demands:
⢠May require sitting for long periods of time; also, stooping, bending, and reaching for files and supplies. ⢠Requires manual dexterity sufficient to operate a computer keyboard, answer a telephone, and run a copier and other office equipment as necessary. ⢠Employee must participate to help maintain the desirable work environment created by the management and company officials.
Responsibilities: ⢠Work/Call on claims & denials to fully resolve claim ⢠Prioritize work load balance ⢠Communicate with clients via email or task message ⢠Provide feedback to team lead regarding denial trends ⢠Maintain strict confidentiality within medical practice and HIPAA compliance ⢠Maintain productivity standards and goals set by the department and/or manager. ⢠Maintain standard quality measures and goals. ⢠Attend Meetings as required and/or participate in various committees as required ⢠Other duties as assigned by, Team Lead, Manager, Director, VP RCM.
Required Skills: ⢠High school diploma/GED ⢠Preferably two yearsâ prior experience in physician professional billing (Managed Care, Commercial and or CMS Part B claims adjudication, including but not limited to: - Explanation of Benefit forms (EOB)- Credit balances (discounts and refunds)- Insurance carrier billing requirements - Collections - Familiarity of payer provider enrollment - CPT & ICD10 Coding
Core Competencies:
Accountability and Self-Management ⢠Must be detail-oriented and organized ⢠A self â starter capable of tracking to deadlines and meeting goals with little supervision required ⢠A high level of analytical and problem solving skills is expected
Team Player ⢠Ability to work autonomously and as a team player
Communication ⢠Excellent communication, customer service, and organizational skills ⢠Strong verbal and written communications
Innovation and Problem Solving ⢠Attention to detail and moderate analytical and problem solving skills is expected
Computer Skills ⢠Must possess general office skills and computer knowledge ⢠Strong working knowledge of the Aprima PM practice management system and/or GE Centricity Business system and coordinating modules, is preferred ⢠MS Excel Spreadsheet software, MS Word Processing software
Physical Demands:
⢠May require sitting for long periods of time; also, stooping, bending, and reaching for files and supplies. ⢠Requires manual dexterity sufficient to operate a computer keyboard, answer a telephone, and run a copier and other office equipment as necessary. ⢠Employee must participate to help maintain the desirable work environment created by the management and company officials.
Vacancy posted 1 day ago
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