Southwest Neuro - AR Specialist

Paycom - ATS; Amarillo (TX); On-site; USD 42,000 - 62,000; Full time

Job summary

Paycom - ATS is seeking an AR Specialist to support the Central Billing Office. The role involves coding review, auditing, and posting payments, with responsibilities spanning patient statements, collections communication, and claim resubmissions.

Ideal candidates will understand CPT/ICD-10, read EOBs, and provide strong customer service. The position requires teamwork and flexibility to cover backups as needed.

Qualifications

• Experience reading and interpreting CPT/ICD-10 codes.
• Ability to review EOBs and insurance denials.
• Proficiency with posting and reconciling payments.

Responsibilities

• Read charts to determine correct codes and modifiers for claims.
• Conduct audits and coding reviews for accuracy.
• Correct and resubmit rejected claims; contact insurers as needed.
• Post and balance payments from multiple sources.
• Generate patient statements monthly and collect balances.
• Make courtesy calls to patients for outstanding balances and arrange payments.
• Answer patient inquiries about balances and process payments.
• Prepare accounts for transfer to collection agencies when needed.
• Provide backup to teammates and assist in other duties.

Skills

Attention to detail

Analytical skills

Customer service

Team player

Communication

CPT/ICD-10 knowledge

Tools

EHR system

Billing software

Job description

Job Summary:The AR Specialist will cross train in all aspects of the Central Billing Office but will have a primary role and also serve as backup across the department.Job Responsibilities:Reading, analyzing, and interpreting patient charts to determine correct codes and modifiers are used when generating claims from the EHR system.Conducting audits and coding reviews to ensure all documentation is accurate and precise. This may include communicating with providers and other staff regarding the treatment, testing, etc., to verify that all billable services have been accounted for.Checking claim rejections daily, which includes correcting and resubmitting as necessary.Identify and resolve all outstanding claim processing issues, which may include contacting insurance for claim status, filing appeals on denied claims, submitting corrected claims, communicating within the department to identify denial trends.Daily posting and balancing of insurance and patient payments received through various methods (ERAs, EFTs, lockbox deposits, live checks, insurance credit cards, recurring ACH payments, recurring credit card payments, etc.).Generating patient statements on a monthly basis.Make outbound courtesy calls to patients to collect on outstanding balances and/or acceptable payment arrangements per policy.Answer incoming phone calls from patients regarding balances due on their account, process patient payments, and/or make acceptable payment arrangements per policyResearch returned mail to locate better address/attempt to collect balance due on account.Prepare non-collectable accounts to transfer to outside collection agency per policy.Assist in other duties as assigned.Excellent customer service skills are a mustStrong understanding of CPT, ICD-10 and HCFA terminologies are highly preferredAbility to read and interpret an insurance explanation of benefit (EOB) is highly preferredStrong attention to detail and documentation skills are requiredHighly analytical, strong problem solving and research skillsExcellent math, verbal, and communication skillsComputer proficiency is highly preferredMust be a team player and willing to serve as a backup to other team members as needed