Accounts Receivable/ Insurance Follow-up | Grant Regional Health Center
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Accounts Receivable/ Insurance Follow-up

Category:  Business Office
Department:  Patient Accounting
Description: 

TITLE:                                              Accounts Receivable (AR) Specialist-Insurance Follow-Up

DEPARTMENT:                              Patient Accounting (Business Office)

POSITION STATUS/HOURS:       Full-time (40 hours/week)

Monday –Friday 8:00 a.m. - 4:30 p.m.  Possibility to work four days per week after orientation

Benefit eligible!

 

JOB SUMMARY: A/R Specialist-Insurance Follow-Up position is responsible for ensuring that healthcare accounts are paid both accurately and timely.

 

JOB DUTIES: (not inclusive and subject to change as necessary)

  1. Follow-up with insurance companies to resolve unpaid or underpaid accounts
  2. Responsible for reviewing accounts for correct third party billing as assigned
  3. Contact insurance carriers, patients, and clinics to resolve claim issues
  4. Demonstrate a knowledge of CPT, ICD-10 coding and their requirements for specific insurance carriers
  5. Submit written appeals for underpayments to Insurance companies
  6. Responsible for editing patient insurance information on accounts
  7. Assist patients with account inquiries
  8. Be able to read and complete UB04 and HCFA1500 forms and provide accurate and timely billing
  9. Participate in performance improvement and Lean activities
  10. Work closely with Billing area to analyze and solve billing discrepancies that are resulting in claim denials
  11. Identify claim denial trends and payment variances and escalate any unresolved issues to the Business Office Coordinator
  12. Request necessary adjustments generated by agings and correspondence
  13. Work correspondence, including denials and updates
  14. Maintain ongoing knowledge of GRHC’s payer contract matrix
  15. Understand and follow all federal, state, and local payer-billing requirements
  16. Responsible for keeping current with federal and state compliance and insurance industry regulations
  17. Serve as backup to and perform tasks related to cash posting
  18. Other duties as assigned

QUALIFICATIONS:

Two to five years industry experience in medical revenue cycle, insurance claims, or collections required. Experience with self-pay accounts preferred. Also ability to meet daily high productive and quality standards, demonstrated ability to work as a team player, ability to multitask, detail oriented, organized, have the ability to problem solve and work independently and well as handle multiple projects at once.  Previous EPIC computer experience a plus!

HOW TO APPLY:

Apply on-line at www.grantregional.com and attach a current resume.  Interviews will be scheduled as applications are received.

 

EO/AA Employer                                                                                          

 

Posted: 2-11-19


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