Duties & Responsibilities

AR Staff Liaison/Insurances

Able to track and trend payer issues

Support department as needed or during short-staffing

Develop expertise in reporting

Support Supervisor with reporting or projects

Manage Tasks

Work follow-ups, correspondence and denials as assigned.

Demographic updates

Eligibility, Authorization, Credentialing, Adjustments, Refunds & File Maintenance

Obtain patient medical records from offices and/or hospitals for claim processing

Phone Support

Patient Support (Walk-in Questions or Disputes)

Patient Payment Posting

Reconciles account balances with insurances and patients

Must be knowledgeable with HCPC, CPT, ICD-9 coding

Answers phone inquiries from payers as well as patient calls

Assists with related special projects as required

Attends required meetings

Safeguard the privacy of patient health information

Other duties as assigned

Knowledge, Skills & Abilities

Ability to comprehend medical insurance policies and filing limits (1st submission, corrected, appeal, grievance)

Ability to understand patient statements and insurance payments explanation of benefits (EOB) to answer questions in relation to claims

Ability to research and work accounts receivable aging and understand general AR management: 30 days to 180+ days

Experience in claims management, denials, and appeal processes

Excellent oral and written communication skills

Self-motivated, detail-oriented and possess strong critical thinking and decision-making abilities

Ability to give and take feedback from others in a professional manner

Ability to multitask

Knowledge of medical terminology

Computer Skills: Excel, Word

Job Type: Full-time

Pay: $17.00 – $20.00 per hour

Benefits:

• Dental insurance
• Employee assistance program
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Experience:

• AR: 3 years (Required)
• medical business office: 1 year (Preferred)