Accounts Receivable Specialist FT (Columbia)

Title: Accounts Receivable Specialist


Location: Columbia Novant Health Urgent Cares


Status: Full-Time

Who Are We?
Part of the Novant Health family based in North Carolina, Novant Health Urgent Care (formerly Doctors Care) provides exceptional healthcare through our network of more than 50 urgent care centers and 20 physical therapy facilities across South Carolina. Our Columbia-based headquarters delivers non-medical management and administrative services to support these locations. For decades, we have been committed to delivering exceptional, convenient, and affordable healthcare experiences to families and communities throughout the Palmetto State

Why Novant Health Urgent Cares? Here's What We Offer!

• Competitive wages with annual market data review
• Incentive Pay Program
• Continuing Education Reimbursement
• Eligible employer under the Public Service Loan Forgiveness (PSLF) Program
• UpToDate Subscription
• Generous PTO
• 403(b) with 100% vested match
• Health, dental, vision insurance
• Health Reimbursement Account
• Flexible Spending Account
• Short term and Long-term Disability
• Whole and Term Life Insurance
• Rewarding Careers
• Great working environment

What Are We Looking For?

Novant Health Urgent Cares is currently looking for an Accounts Receivable Specialist to join our team. The position works to resolve outstanding, unpaid, unprocessed, and denied claims submitted to third-party payers on behalf of Progressive Physical Therapy providers, to ensure compensation is received fully, and in a timely manner. Accesses third-party websites, places outbound phone calls, accepts inbound phone calls, sends and receives facsimiles and sends and receives correspondence with third-party payers and various government agencies for follow-up on non-responsive claims and denials for payments. The position reports to the Accounts Receivable Supervisor.

Responsibilities

• Reviews, researches and resolves insurance claims, unprocessed third-party claims, denials, underpayments and overpayments.
• Verifies accuracy of billing data and corrects errors; resubmits clean claims to payers electronically or via paper claim.
• Works, monitors and manages his/her respective workbaskets including, but not limited to, denials, 60 Day, 90 Day, 120 Day, and 150 Day aging on assigned insurance carrier(s) to get claims paid in a timely manner.
• Works incoming mail and EOBs (Explanation of Benefits) from the insurance carriers and processes claims related correspondence to resolve issues.
• Works EDI transactions, ERA files and rejection reports.
• Contacts payers via phone to help expedite the resolution of claims and payments.
• Accesses web-based applications and internet for claim status and eligibility of services.
• Identifies and resolves patient billing complaints and inquires. Assists the overflow customer service line when volume of incoming calls warrants assistance.
• Complies with Patient Accounting quality and productivity standards.
• Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
• Other duties and responsibilities as assigned by supervisor.

Do You Have What It Takes?

A good candidate will bring with them:

• High School diploma or equivalent
• Three (3) years medical billing experience
• Strong knowledge of Medicare claims processing regulations and other payer specific guidelines
• Strong written and verbal communication skills
• Ability to establish and maintain cooperative working relationships and the ability to work in teams
• Proficiency in Microsoft Office programs such as Word, Excel and Outlook

An ideal candidate would also have:

• Associates Degree
• Medical Billing, Revenue Cycle and/or Coding Certification (CRCR, CPC)