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Careers & Job Opportunities

AR Specialist (Healthcare Account)

Essential Duties & Responsibilities: 

  • Verify/obtain eligibility and/or authorization utilizing payer web sites, client eligibility systems or via phone with the insurance carrier/providers 
  •  Update patient demographics/insurance information in appropriate systems 
  • Research/ Status unpaid or denied claims 
  • Monitor claims for missing information, authorization, and control numbers (ICN//DCN) 
  • Research EOBs for payments or adjustments to resolve claim 
  •  Contacts payers via phone or written correspondence to secure payment of claims; reconsideration and appeal submission. 
  •  Access client systems for payment, patient, claim and data info 
  •  Follows guidelines for prioritization, timely filing deadlines, and notation protocols within appropriate systems 
  • Secure needed medical documentation required or requested by third party insurance carriers 
  • Maintain and respect the confidentiality of patient information in accordance with insurance collection guidelines and corporate policy and procedure
  •  Perform other related duties as required

Minimum Requirements & Competencies:  

  • 2+ years of medical collections/billing experience 
  • Intermediate knowledge of ICD-10, CPT, HCPCS and NCCI 
  • Intermediate knowledge of third party billing guidelines 
  • Intermediate knowledge of billing claim forms(UB04/1500) 
  • Intermediate knowledge of payor contracts 
  • Working Knowledge of Microsoft Word and Excel 
  • Intermediate working knowledge of health information systems (i.e. EMR,Claim Scrubbers, Patient Accounting Systems, etc.) 
  • Must be willing to work onsite.

Preferred Requirements & Competencies:  

  • Working knowledge of one or more of the following Patient accounting systems –  EPIC, Cerner, STAR, Meditech, CPSI, Invision, PBAR, All Scripts, or Paragon 
  • Working knowledge of DDE Medicare claim system 
  • Knowledge of government rules and regulations 

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