Medical Account Receivable Specialist

Medical Account Receivables Specialist

Aspire Allergy & Sinus is seeking a full-time Medical Account Receivables Specialist to evaluate assigned payers to include working rejections, invalid and denied claims, appeals and follow-up to bring the account to final resolution on open accounts within a timely manner and to industry-standard benchmarks. This position ensures accounts receivable compliance within industry rules, regulations, practice protocols in addition to company policy.

Schedule- Fully Onsite Work

Monday - Thursday : 8am- 5PM

Friday : 8am- 12PM

Key Responsibilities

Responsible for daily monitoring of invalid, rejections, and denials populated by the clearing house. Diagnosis the error messages and make necessary corrections so the claim can be accepted to the payer electronically

Demonstrate a thorough understanding of the Accounts Receivable function and compliant with federal and state regulations and Aspire Allergy & Sinus Center policy and procedures

Works Insurance Accounts Receivable reports per Revenue Cycle Manager work plan beginning with >

120 aging top dollar working in descending order. Research claim denial reasons and take appropriate follow up action for resolution

Work correspondence in a timely fashion to include submission of medical records when requested

Demonstrate the ability to effectively communicate and explain benefits, statements and EOB's to patients and / or front office staff

Contact insurance companies for payments requests, overdue payments, denied claims etc.

Identify refunds and complete refund request according to company policy

Clearly and accurately document issues and actions taken in accounts

Identify and document new payer denial trends and notify supervisor for escalated follow up

Maintain strong communication with Billing management team

Escalate unresolved claim denials to Billing management team for follow up with health plan provider representatives

Ensure compliance with Aspire Allergy & Sinus Center Policies and Procedures to maximize efficiency

Maintain strong working knowledge of Allergy, Asthma & Sinus coding

Maintain confidentiality of all information related to patients, medical staff, finances and cost-effective healthcare delivery issues

Other duties as assigned to include phone coverage

Skills, Knowledge & Expertise

Excellent mathematical skills, computer skills, Microsoft applications and word processing programs skills and a minimum of 40 words per minute required

Excellent writing and verbal communication skills

Strong phone skills, inbound or outbound

Strong attention to detail, goal oriented

Ability to prioritize and manage multiple abilities

Ability to work in a results-oriented and fast-paced environment, both individually and as part of a team

Able to establish and maintain effective working relationships with the insurance carriers, patients and employees.

Must respect the confidential nature of medical information.

Requirements

4+ years billing experience within the healthcare industry

4+ years A / R experience with proven record collecting on accounts

Benefits & Perks

Medical, Dental and Vision Insurance

Generous Paid Time Off and Paid Holidays

401(k) + Generous Employer Match

Life Insurance

Gym Membership Discounts

Aspire Allergy & Sinus is an Equal Employment Opportunity / Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

About Aspire Allergy & Sinus

We are a collective unit of passionate people who have come together to reinforce our cause : curing patients who suffer from allergy and sinus problems. We take great pride in hiring enthusiastic, talented individuals who believe in our cause and want to grow our company and its employees. We recognize that we thrive and achieve advanced patient care because of our ever-growing team. We are better together and there has never been a better time to help make a difference! Aspire currently stretches among numerous clinics throughout Arizona, Colorado, Florida, New Mexico, and Texas, with plans for several more additions. Do not miss out on the lifetime opportunity to help Aspire scale up and reach more patients in more states.