Medical Accounts Receivable Specialist

The Accounts Receivable Specialist is responsible for research and follows up of accounts to ensure timely collection of outstanding A / R.

Key duties include :

• Perform audits of patient accounts to ensure accuracy and timely payment
• Review account aging, identify and report inconsistencies and corrects errors
• Research rejections, denials, bad debt and other projects
• Review credit balance reports for correct recipient of funds
• Review and research EOB’s
• Resubmission of claims and submittal of appeals
• Verification of patient coverage, authorization and billing inquiries
• Perform reconciliation of refund accounts; attach documentation and forward to manager to process refund checks
• Identify problems on accounts and follows through to conclusion
• Respond to insurance company requests for information in a prompt and professional manner

Requirements

Qualifications

Education

High school diploma or equivalent