The AR Specialist generates revenue by verifying insurance benefits; making
payment arrangements; collecting accounts; monitoring and pursuing delinquent
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
Review for accuracy, charges entered by centers, comparing orders to medical
documentation / CPT coding.
Reviews outstanding AR accounts and contacts insurance for reimbursement
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
Experience with computerized billing software and interpreting EOBs
Working knowledge of ICD-9, CPT, HCPCS, and CPT coding
Knowledge of medical terminology
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.
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;
e+healthcare - 13 months ago
e-Healthcare Solutions, Inc. is a dynamic young company and offers an exciting work environment. We are an equal opportunity employer and we...