Accounts Receivable Specialist (62405)

United Digestive; Atlanta (GA); On-site; USD 45,000 - 60,000; Full time

Job summary

A healthcare provider in Atlanta is seeking an Accounts Receivable Specialist. The role involves coding and claims processing for various services, requiring a High School Diploma or GED, 3-4 years of experience, and CPC certification. Candidates should have a strong understanding of ICD and CPT coding along with proficiency in EMR software. The position promotes a drug-free workplace and emphasizes customer service, quality patient care, and compliance with HIPAA standards.

Qualifications

• 3-4 years of coding and/or medical office and billing experience.
• Proficiency in multiple Microsoft Office applications.
• Advanced knowledge in E&M and procedural coding preferred.

Responsibilities

• Claim scrubs for clean claim submission.
• Work appeals/denials in a timely manner.
• Accurate coding and claims submission of services.

Skills

ICD and CPT coding

EMR software knowledge

Microsoft Office proficiency

Claim processing

Data entry

Education

High School Diploma or GED

CPC certification

Job description

Join to apply for the Accounts Receivable Specialist (62405) role at United Digestive.

Responsible for ICD and CPT coding, data entry, claims processing, and coding of office E&M charges, office procedures, imaging, infusions, labs and other services performed by physicians and mid-level providers at Atlanta Gastroenterology Associates.

Reporting To

Revenue Cycle Manager.

Responsibilities

• Claim scrubs for clean claim submission.
• Work appeals/denials in a timely manner and create solutions to prevent future denials.
• Communicate and work in tandem with billing company, hospitals, and insurance payers as required.
• Accurate coding and claims submission of services provided by Atlanta Gastroenterology Associates providers, including assigning the correct ICD and CPT codes.
• Review and analyze patient records to determine accurate levels of coding and other billable services.
• Research coding and claims questions thoroughly to maintain high quality standards.
• Ensure that appropriate modifiers are assigned when needed to claim.
• Provide support to office managers and staff in determining accurate coding and billing practices.
• Participate in coding audits and educational endeavors as directed by the Charge Entry Supervisor.
• Continue personal education by attending seminars and classes as needed.
• Stay up to date on changes and updates to CPT and ICD-10 codes.
• Understand and abide by CMS and other payer guidelines in coding and billing.
• Meet or exceed quality and productivity standards as set by the Charge Entry Supervisor.
• Answer emails and voicemails and return calls in a timely and efficient manner.
• Complete requests for information from other staff and ensure that they are handled promptly and effectively to guarantee payment on patient accounts.
• Abide by and promote HIPAA compliance; maintain strict confidentiality with regards to patient information.
• Participate in staff meetings as directed by the Charge Entry Supervisor.
• Cross-train and perform other practice functions as directed by the Charge Entry Supervisor.
• Any other duties and/or special projects as assigned.

Qualifications

• High School Diploma or GED required; CPC required.
• 3-4 years of coding and/or medical office and billing experience.
• Skills and knowledge of EMR software functionality and operations.
• Proficiency in multiple Microsoft Office applications.
• Knowledge and ability to respond to claims questions and denials.
• Advanced knowledge in E&M and procedural coding preferred and specialty clinical experience in gastroenterology preferred.

Additional Skills and Experience

• Provide a high level of quality patient care and customer service at all times.
• Plan, prioritize, and complete multiple tasks as delegated by RCM Leadership.
• Productivity based assignments to be completed within the time frame assigned.
• Ability to work under pressure; assess, respond, and communicate issues in a timely manner.
• Maintain composure and set a professional example to patients and coworkers.
• Communicate clearly with patients and coworkers through the telephone, email, and in-person.
• Interpret and apply clinical and non-clinical policies and procedures.

Physical / Mental / Environmental Demands

Requires sitting and standing associated with a normal office environment. Travel required as business needs dictate.

Drug Free Workplace

United Digestive is a drug free workplace. All offers of employment are contingent upon passing a pre-employment drug screening.

EQUAL OPPORTUNITY EMPLOYER

United Digestive is an Equal Opportunity Employer and does not discriminate on the basis of race, religion, military or veteran status, gender, color or national origin in its employment practices.