Medical Accounts Receivable Specialist HYBRID

Family Allergy & Asthma•Louisville, KY

4d•Hybrid

About The Position

The Medical Accounts Receivable Specialist is responsible for demonstrating knowledge and application of job duties within scope of practice and functions under the direction of the manager(s) and/or Director(s); respectfully interacts with all levels of staff; provides assistance, as needed, during assigned duty hours; participates in department activities; promotes independence; adherence to the attendance policy; encourages socialization; advocates for the quality of life of our patients while maintaining compliance with all applicable laws, regulatory and organizational standards; supports the company’s core values.

Requirements

High School Diploma
Minimum 2 years of recent AR experience in a healthcare setting
Proficient with Microsoft applications
EMR experience – 2 years
Proficient in denial management
Experience working Commercial, Medicare and Medicaid plans.
Experience working in fast-paced, high volume, multi-provider practice.
Understanding of Revenue Cycle including admission, billing, payments, and denials.
Hybrid schedule

Responsibilities

Understands and has experience with multiple carrier types (Medicare, Medicaid, Dual,
Commercial, Managed Care and Advantage plans) in multiple states.
Research and investigate denied or no response claims to confirm reason for denial and best
method of recovery.
Reviews payer policies and guidelines to support reconsiderations and appeals where needed.
Identifies trends and notifies leads and manager immediately to establish plan of action.
Submits corrected claims, reconsiderations and appeals via portal, fax or secure email using mail
as last resort.
Thoroughly documents research done and action take on each claim in IMS
Follows SOPs
Proficient in Excel
Proficient in Availity Essentials
Communicates with other departments via shared spreadsheets and conducts regular followups
on cross communication.