A/R Operations
e+healthcare - Nashville, TN

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Job Purpose: The AR Specialist generates revenue by verifying insurance benefits; making payment arrangements; collecting accounts; monitoring and pursuing delinquent accounts. Essential Functions: • Verification of insurance benefits. • Obtains authorizations from insurance carriers. • Effectively communicates insurance needs and verification / authorization outcomes associated with upcoming services. • Works closely with insurance carriers for reimbursement requirements to ensure payment. • Review for accuracy, charges entered by centers, comparing orders to medical documentation / CPT coding. • Reviews outstanding AR accounts and contacts insurance for reimbursement explanation. • Consults with appeals department for disputed / denied claims. • Regular attendance and punctuality. • Contributes to team effort by accomplishing related results as needed. • Ensures that all processing and reporting deadlines are consistently achieved. • Perform any other functions as required by management. Qualifications and Education Requirements: • Minimum 2 years experience in Accounts Receivable / Billing • Understanding of managed care contracts and fee schedules, including Medicare and Medicaid • Experience with computerized billing software and interpreting EOBs • Working knowledge of ICD-9, CPT, HCPCS, and CPT coding Preferred Skills: • Knowledge of medical terminology Required Competencies: • Ability to work in a team environment and enjoy multi-job functions. • Strong Business and Organizational Competence. • Exceptional Customer Service Skills. • Strong functional Competence. • Interpersonal Skill Competency. • Stress Tolerance. • Initiative. • Adaptability. • Accountability. • Integrity. • Self-Confidence. • Time Management Skills with an emphasis on multi-tasking. We offer a competitive salary and benefits package that includes: Health, Dental, Vision, Ancillary and Life Insurances, Long Term Disability, 401(k), Vacation and Sick Time. All qualified candidates may apply via our Career Center; www.epluscancercare.com