POSITION SUMMARY:

The Accounts Receivable Collection Specialist’s purpose is to process medical billing claims, collect patient or provider payments, resolve questions and problems with a customer’s accounts, and process patient refunds. They would also be responsible for handling appeals to include re-determinations and resubmissions of billing to patient payers for payment on medical supply orders. This opportunity will be on-site in Lutz, FL.

RESPONSIBILITIES:

• Generate timely billing of assigned payers
• Ensure claims are received and processed by payers
• Review A/R balances to ensure timely and accurate payments are received
• Maintain current and accurate computer data including documentation of all account activity performed in A/R systems
• Bill all co-insurance accounts per payer specific guidelines
• Complete cash logs as required
• Review and understand correspondence received from third-party payers including remittance advices, Explanation of Benefits, denial letters, etc.
• Receive payment denials, investigate the reason, and rectify the situation with the payer or patient
• Receive inbound and place outbound calls from and to customers, Medicare, Medicaid and Commercial insurance providers regarding patient accounts
• Provide written correspondence to audit requests to include investigation and obtaining of appropriate documentation to be attached to response
• Document status of billing and payment process in patient account for future follow-up keep current on payer requirements via research and coaching to ensure guidelines and procedures are being met for each payer
• Answer and follow up on calls from patients with billing questions complete all end of month reports as requested, directed or assigned complete all internal system service ticket requests as assigned
• Work miscellaneous projects and tasks on an as needed basis

Job Type: Full-time

Pay: $21.00 - $25.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid sick time
• Paid time off
• Paid training
• Vision insurance

Physical setting:

• Office

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Experience:

• Medical billing: 2 years (Required)
• Medical collection: 2 years (Required)
• eClinicalWorks: 1 year (Preferred)
• Medicare: 1 year (Preferred)

Work Location: In person

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