Insurance AR/Collections Specialist

Job Description

Job Description

The leading cardiology group in the West Valley is expanding and looking to add valuable and skilled team members to our comprehensive and long-standing Practice.

Cardiac Solutions provides a personalized, team-oriented approach to patient care by promoting wellness through education, innovation, and technology. We offer intensive educational opportunities for patients through our disease management clinics and employ a multidisciplinary approach. All team members play a vital role in providing our patients with tailored care and support services. Our focus helps to prevent the progression of heart disease and minimize hospital admissions for our patients.

• Competitive wages
• Uniform/Scrub Allowance
• Monday ? Friday for most positions
• 7 Company Paid Holidays*
• Employee Medical coverage option as low as $25.00 per paycheck*
• Dental & Vision*
• Supplemental coverage options to include Life/AD&D, Short-Term, Long-Term, Critical Illness, Hospital, Accidental*
• 401(k) retirement plan
• Paid Time Off*
• Paid Sick Time
• Employee Assistance & Discount Programs

*Available to full-time, regular employees*     -     ** Restrictions may apply **

POSITION SUMMARY:

The AR/Collections Specialist position is responsible for assuring insurance claims are paid in a timely manner and performs collecting, reconciliation, research, correspondence, and independent problem solving. Additionally, this position maybe required to travel to all office locations to meet business needs, as requested.

ESSENTIAL JOB DUTIES:

• Responsible for collecting on accounts per department protocols.
• Processes claim appeals per departmental protocols.
• Reviews claim status daily to assure claim follow-up with payers.
• Analyze and research unpaid claims.
• Reprocess and submit accurate claims to payers.
• Reconcile accounts to determine underpayment, overpayment, or contractual adjustment correction.
• Manage aging reports.
• Batch and submit daily claims.
• Reach out to insurance companies regarding any discrepancy on unpaid/denied/rejected claims.
• Utilizes technical ability and understanding of applicable insurance contracts and regulations.
• Identifies and communicates any trends and carrier issues relating to billing and reimbursements.
• Prepares paper claims (CMS-1500) and electronic claim submissions for secondary filing.
• Processes inbound/outbound calls from insurance and patients with billing questions.
• Research and communicate any billing changes to achieve optimum performance.
• Update or add insurance carriers to the system.
• Respond to emails, flags, and overhead pages for billing related questions.
• Maintains patient confidentiality by following HIPAA policies and procedures.
• Other duties as assigned per the need of the organization and within scope of position.