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AR Specialist (Medical Biller) - Full-time / Part-time
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | Halethorpe, MD Halethorpe, Maryland |
About this job
Job Description:
1. Receives rejected or inappropriate payment vouchers from the Cash Application Specialists and follows up with the insurer to resolve those claims. Involves coding staff as necessary.
2. Tracks claims or charges that have been submitted for reconsideration and follows up appropriately and timely. Works all open claims with the same or similar criteria to achieve reimbursement and resolution of the payment issue.
3. Works the Accounts Receivable for both insurance and patient responsibility, focuses on resolution of problem accounts by payor category. Informs Billing Supervisor of any insurance payment issues (changes in third party billing rules, specific services deemed medically unnecessary).
4. Identifies and informs Billing Supervisor of potential revenue opportunities through improved charge capture as observed during follow up process.
5. Works self pay Accounts Receivable, updating patient accounts with documentation of follow up activity, new demographic or insurance information on the patient account and in the production log within Resolute. Liaison with outside collection vendors. Handles all incoming and outgoing patient correspondence.
6. Resubmits claims for both insurance and patient Accounts Receivable within payor filing limit requirements. Initiates and completes the appeals process
7. Keeps daily work in an organized manner to facilitate access.
8. Answers all Customer Service billing enquiries promptly and courteously and with quick resolution when possible. Work Environment: The CBO is a shared service center and is high volume processing center. It is a cube type of environment. Qualifications: 1. High School Diploma or equivalent (GED) is required.
2. One year medical billing follow up experience or equivalent training in billing is required.
1. Working knowledge of medical coding required.
2. Ability to maintain current knowledge of third party billing rules.
3. Ability to meet MGMA (Medical Group Management Association) standard of a minimum of 65 accounts worked daily.
4. Demonstrated basic knowledge of MS Office software applications such as Microsoft Excel and Microsoft Word is required.
5. Ability to maintain a culture of excellent customer service, open and friendly staff relations with all levels of staff.
6. Effective verbal and written communication and listening skills are required to interact with various individuals seeking accounting-related information
1. Receives rejected or inappropriate payment vouchers from the Cash Application Specialists and follows up with the insurer to resolve those claims. Involves coding staff as necessary.
2. Tracks claims or charges that have been submitted for reconsideration and follows up appropriately and timely. Works all open claims with the same or similar criteria to achieve reimbursement and resolution of the payment issue.
3. Works the Accounts Receivable for both insurance and patient responsibility, focuses on resolution of problem accounts by payor category. Informs Billing Supervisor of any insurance payment issues (changes in third party billing rules, specific services deemed medically unnecessary).
4. Identifies and informs Billing Supervisor of potential revenue opportunities through improved charge capture as observed during follow up process.
5. Works self pay Accounts Receivable, updating patient accounts with documentation of follow up activity, new demographic or insurance information on the patient account and in the production log within Resolute. Liaison with outside collection vendors. Handles all incoming and outgoing patient correspondence.
6. Resubmits claims for both insurance and patient Accounts Receivable within payor filing limit requirements. Initiates and completes the appeals process
7. Keeps daily work in an organized manner to facilitate access.
8. Answers all Customer Service billing enquiries promptly and courteously and with quick resolution when possible. Work Environment: The CBO is a shared service center and is high volume processing center. It is a cube type of environment. Qualifications: 1. High School Diploma or equivalent (GED) is required.
2. One year medical billing follow up experience or equivalent training in billing is required.
1. Working knowledge of medical coding required.
2. Ability to maintain current knowledge of third party billing rules.
3. Ability to meet MGMA (Medical Group Management Association) standard of a minimum of 65 accounts worked daily.
4. Demonstrated basic knowledge of MS Office software applications such as Microsoft Excel and Microsoft Word is required.
5. Ability to maintain a culture of excellent customer service, open and friendly staff relations with all levels of staff.
6. Effective verbal and written communication and listening skills are required to interact with various individuals seeking accounting-related information
About Aerotek:
Aerotek, headquartered in Hanover, Md., is a leading provider of technical, professional and industrial staffing services. Established in 1983, Aerotek is an operating company of Allegis Group, the largest provider of staffing services in the U.S. Aerotek operates a network of more than 200 non-franchised offices throughout the U.S., Canada and Europe. For more information, visit .