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About this job

Staffmark has an opening for a Accounts Receivable Medical Specialist! Job requirements: Comply with all applicable Company policies and procedures Understand and comply with all governmental, regulatory and company billing and compliance regulations/policies including but not limited to Medicare and Medicaid programs. Maintain working knowledge of current HME products and services offered by the Company and all applicable insurance guidelines respecting eligibility for coverage and reimbursement. Working knowledge of reimbursement requirements for all insurances; must be comfortable knowing what is required to bill, by insurance, in a manner to provide sufficient certainty the claim will be paid. Requires constant review for updates and revisions by monitoring appropriate insurance companies’ and government agencies’ websites. Identifies problem accounts with payors; investigates and corrects errors, follows-up on missing account information, and resolves past-due accounts. Answers inquiries by phone regarding past-due accounts and insurance guidelines; researches incorrect addresses for past-due accounts. Contacts responsible party to resolve delinquent accounts; prepares payment plans and monitors adherence to plans by responsible party; directs accounts to outside collection agencies when necessary. May contact attorneys, employers, physicians, and others necessary to obtain information for resolution of credit and collection matters. Posts data; verifies and performs mathematical computations; maintains files. 10. Composes and types routine correspondence, memos, letters, etc. 11. Performs other duties as assigned Job Requirements MINIMUM QUALIFICATIONS: Knowledge of medical terminology and DME (preferred) Knowledge of Brightree or other medical billing software Knowledgeable in all insurance carrier reimbursement guidelines and eligibility for coverage by third party payers Knowledge of government, regulatory and Company billing and compliance regulations/policies for Medicare and Medicaid Effective verbal and written communication skills Ability to respond to questions in a tactful and professional manner Customer services skills Ability to make basic numerical calculations Ability to maintain confidentiality Ability to interpret accounts and records Ability to persuade and influence Skills: MS Excel, Word and 10-key skills required

Equal Opportunity Employer Minorities/Women/Veterans/Disabled

Requirements

MINIMUM QUALIFICATIONS: Two years experience in insurance office or doctor’s office, medical collections experience preferred High school education required REQUIRED KNOWLEDGE/EXPERIENCE: Knowledge of computer systems and basic accounting concepts Office machines (faxes and copiers) PHYSICAL REQUIREMENTS: Operation of office machinery Occasionally lift/move up to 40 pounds