Accounts Receivable Specialist

Evolving Solution Services; Panama City Beach (FL); On-site; USD 42,000 - 65,000; Full time

Job summary

Evolving Solution Services is seeking an Accounts Receivable Specialist to manage daily payment postings, act as the main collector for insurance balances, and handle various AR tasks to accelerate cash flow in our healthcare revenue cycle.

Responsibilities include posting payments, estimating copays, following up on denials, aging reports, and collaboration with the Business Office to resolve deficiencies and ensure timely payments.

Qualifications

• 2+ years in Revenue Cycle Management including billing, claims follow up, and denials.
• Knowledge of Medicare and Third Party Insurance Guidelines.
• Strong organizational skills and high attention to detail.

Responsibilities

• Post payments to patient accounts daily and maintain a payment log.
• Act as main collector for insurance balances.
• Send weekly statements and address patient questions on balances.
• Enter coding/charges into the patient accounting system and bill payer per policy.
• Work aging reports to ensure timely payments and collections.
• Review claims denials and submit corrected claims or appeals.
• Assist with implant tracking for billing purposes.
• Prepare bad debt for write-off and liaise with collections.
• Support Business Office team and communicate deficiencies impacting timely payments.
• Cover patient admissions and phones as needed.
• Other administrative tasks as necessary.

Skills

Revenue Cycle Management

Billing

Claims follow-up

Denials management

Medicare knowledge

Organizational skills

Education

High School Diploma or equivalent

Tools

Patient accounting system

Job description

The Accounts Receivable Specialist has three main tasks. The first is the daily posting of payments to our patient accounts. Second is to be the main collector for insurance balances. Lastly this position will be responsible for various AR tasks to help us turn our AR quickly. Additionally, this position will cross train in a variety of revenue cycle areas to make the business office more robust. These tasks are summarized below:

• Verify patient insurance is active and estimate copays.
• Call patients regarding their estimated Copay prior to DOS and assist with questions on estimates and payment options.
• Post payments received by the ASC on a daily basis and create payment log.
• Send out statements on a weekly basis and help answer patient questions on balances owed .
• Enter coding/charges into the patient accounting system and bill payer according to our P&P.
• Work outstanding claims aging report to ensure prompt payment.
• Review claims denials and submit corrected claims or appeals.
• Assist with implant tracking for billing purposes.
• Prepare bad debt for write off and work with collection agency.
• Work effectively with Business Office team to communicate deficiencies, if any, that impact timely payments and collections.
• Cover patient admissions and phones as needed.
• Other administrative tasks as necessary.

Education Required:

• High School Diploma or equivalent

Experience Required:

• 2+ years in Revenue Cycle Management to include, billing, claims follow up, and denials.
• Knowledge of Medicare and Third Party Insurance Guidelines.
• Strong organizational skills, work ethic and high attention to detail.