Accounts Receivable/Collections Specialist

Accounts Receivable/Collections Specialist

NEUROLOGICAL ASSOCIATES OF TUCSON PC - TUCSON, AZ 85718

Overview

Position Type Full Time

Description

General Summary: A nonexempt position responsible for coordinating, verifying, distributing, and managing all accounts receivable services.

Essential Job Responsibilities

• Analyze and review processing of insurance claims.
• Post Electronic Remittance Advices (ERAs), as assigned, and check any rejected payments and verify that all payments posted.
• Drafting and submitting medical appeals
• Follow adjudication policies and procedures to ensure proper payment of claims.
• Follow up on pending claims and unpaid claims in a timely manner, preventing timely filing denials.
• Researching and appealing denied claims
• Answering all patient or insurance telephone inquiries pertaining to assigned accounts.
• Review EOBs for accuracy of payments
• Maintains required billing records, reports, files, etc. according to protocol.
• Additional support for daily deposit preparation.
• Other duties as assigned.

Qualifications

Education: High school diploma or equivalent.

Experience: Minimum two years of recent accounts receivable experience or any equivalent combination of experience, training and/or education approved by the Medical Billing Supervisor and/or Human Resources.

Performance Requirements:

Knowledge:

• Knowledge of billing practices and medical office policies and procedures.
• Knowledge of medical coding (CPT and ICD-10), clinic operating policies and third-party operating procedures and practices.
• Knowledge of legal and regulatory government provisions.
• Knowledge of HIPAA Privacy and Security rules.

Skills:

• Skill in establishing and maintaining effective internal and external working relationships.
• Skill in verbal and written communication with patients and insurances.
• Skill in accuracy and detail with respect to demographics data and figures.

Abilities:

• Ability to work in team based work setting which places patient satisfaction as the major focal point for measuring success.
• Ability to demonstrate compassion and caring in dealing with others.
• Ability to project a pleasant and professional image.
• Ability to effectively articulate information and respond to questions.
• Ability to relate to and work well with a diverse community population.
• Ability to work under pressure.
• Ability to Multi-task and meet deadlines.
• Ability to work cooperatively with other department staff.
• Ability to plan, prioritize, and complete delegated tasks in an appropriate time frame.
• Ability to read, interpret and apply policies and procedures.
• Ability to set priorities among multiple requests.
• Ability to interact with patients, medical and administrative staff, and the public effectively.
• Ability to work with computers.