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:
  1. Download files from clearinghouse and post cash receipts for Medicare, Medicaid and other insurances daily.
  2. Resolve patient billing inquiries and problems, and follow up on balances due from insurance companies and patients.
  3. Identify errors and/or omissions of patient insurance and demographic information and report to the manager.
  4. Maintain access to provider portals for billing and facility staff.
  5. Review insurance EOBs. 
  6. Identify refunds, provide supporting documentation, and submit for approval.
  7. Audit accounts for bad debt write-offs, and post monthly bad debt for assigned centers.
  8. Complete the month end close process, including the monthly bad debt report and cash log.
  9. Process invoices, cash corrections, and electronic fund transfers.
  10. Balance bank reconciliations and month-end census.
  11. Review consolidated billing claims and submit to Accounts Payable.
  12. Update private room rates and per diem rates for insurances.
  13. Conduct training on billing processes, use electronic record keeping systems, and assign user IDs, as needed.
  14. Other duties as assigned by supervisor.

KnowledgeSkills and Abilities:
  1. Associate’s or Bachelor’s Degree in a related field; or equivalent combination of education and experience.
  2. state billing experience and/or accounting experience in a related field
  3. Strong knowledge of insurance guidelines, medical terminology, and HIPAA compliance guidelines.
  4. Must be detail oriented, have strong math and analytical skills, and have the ability to manage multiple accounts and tasks effectively.  
  5. Strong computer skills, including experience with electronic medical record systems and Excel.
  6. Must be able to maintain the highest standards of integrity and confidentiality regarding patient information and records.
  7. Solid knowledge of third party billing and collections, with a depth of understanding of UB-04, 1500, CPT, ICD-9 Coding and Consolidated Billing
  8. Solid knowledge of hospital and/or medical billing and insurance claim filing.
  9. 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

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