The A/R Specialist is responsible for performing and auditing a variety of billing duties, including review and verification of patient account information, reconciliations, and completing month end closing processes. The A/R Specialist also serves as a key point of contact for assigned centers to answer questions, troubleshoot, and resolve billing issues.
Key Duties and Responsibilities:
KnowledgeSkills and Abilities:
Key Duties and Responsibilities:
- Download files from clearinghouse and post cash receipts for Medicare, Medicaid and other insurances daily.
- Resolve patient billing inquiries and problems, and follow up on balances due from insurance companies and patients.
- Identify errors and/or omissions of patient insurance and demographic information and report to the manager.
- Maintain access to provider portals for billing and facility staff.
- Review insurance EOBs.
- Identify refunds, provide supporting documentation, and submit for approval.
- Audit accounts for bad debt write-offs, and post monthly bad debt for assigned centers.
- Complete the month end close process, including the monthly bad debt report and cash log.
- Process invoices, cash corrections, and electronic fund transfers.
- Balance bank reconciliations and month-end census.
- Review consolidated billing claims and submit to Accounts Payable.
- Update private room rates and per diem rates for insurances.
- Conduct training on billing processes, use electronic record keeping systems, and assign user IDs, as needed.
- Other duties as assigned by supervisor.
KnowledgeSkills and Abilities:
- Associate’s or Bachelor’s Degree in a related field; or equivalent combination of education and experience.
- state billing experience and/or accounting experience in a related field
- Strong knowledge of insurance guidelines, medical terminology, and HIPAA compliance guidelines.
- Must be detail oriented, have strong math and analytical skills, and have the ability to manage multiple accounts and tasks effectively.
- Strong computer skills, including experience with electronic medical record systems and Excel.
- Must be able to maintain the highest standards of integrity and confidentiality regarding patient information and records.
- Solid knowledge of third party billing and collections, with a depth of understanding of UB-04, 1500, CPT, ICD-9 Coding and Consolidated Billing
- Solid knowledge of hospital and/or medical billing and insurance claim filing.
- Knowledge of medical terminology, insurance plans and/or Medicare procedures, and diagnosis coding.
This is a non-management position
This is a full time position
Department: Home Office
Visit Careers at NexCare Managed Communities & The WellBridge Group.
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