Patient A/R Specialist

Overview

Patient A/R Specialist

 

Join Us in Transforming the Dental Experience

Imagine being able to work with a group that strives to make a difference in the everyday lives of individuals. At NADG, we use our individuality and expertise to work with our partnered dental offices and ensure that every practice is able to focus on what they do best—providing best in class patient care. Our guiding principle is empathy, and it allows us to focus on the big picture of what our work is all about: putting every patient first, every visit.

 

Do you have the drive and passion for helping others improve the dental field in the way that we do? Come join our team— assist us in pioneering a new culture of dentistry.

 

Job Summary:

North American Dental Group is looking for a personable, self-motivated, detail-oriented Patient A/R Specialist. This individual will manage patient collections, collection vendor relationships, patient refunds, bankruptcies, unclaimed funds, provide continuing education, develop suggested strategies on patient AR management and balance discrepancy avoidance as well as accuracy review and approval of patient adjustments to bad debt. This role will also be responsible for ensuring quality in throughout all processes and functions performed as it relates to Patient AR accuracy.

Responsibilities

Job Description:

The Patient Accounts Receivable Specialist will be responsible for monitoring and maintaining quality in throughout all processes and functions pertaining to the Patient AR team. This role will operate synchronously with Revenue Cycle and clinical operations to ensure accurate and timely patient account follow up.

The Patient Accounts Receivable Specialist will communicate as needed with the operations team regarding accounts eligible for collection, balance inquiries, writing off balances to bad debt, and fielding disputes. This individual will document, and present summaries of accounts sent to collections to the Patient Accounts Receivable Manager.

Alongside the Patient Accounts Receivable Manager, this individual will interact with third party vendor contacts, Revenue Cycle teams and other departments as necessary regarding the patient account collection status and balances.

On a recurring frequency, the Patient Accounts Receivable Specialist will review requests for refund to patients, to either approve or decline the proposed refund. Upon approved refund this individual will be accountable for applying appropriate adjustments into the patient’s account.

 

 

Essential Functions:

• (TSI) Manage identification and communication regarding patient accounts eligible for collections
• (TSI) Review and transfer of debts to the collections agency and writing off the patient account balances
• (TSI) Field intercompany questions pertaining to the collection agency disputes and account reviews
• (Pt Refunds) Manage inflow, review, approval, and processing of patient refund requests
• (Pt AR Desk365 tickets) Review, investigate and process escalations from the field as it pertains to patient account balance discrepancies
• (EvA, Dup Payments & W/O reports) Account review to identify and correct EOB and posting errors that could result in revenue leakage, fee schedule/insurance plan inaccuracies, incorrect compensation to providers
• (EvA, Dup Payments & W/O reports) Document and report on trends in avoidance-related findings as it related to patient balance reviews and collections
• (Guarantor Balances Report) Handling of accounts with aging credit balances and follow proper unclaimed fund protocols in accordance with state law
• Work directly with various departments including but not limited to internal rev cycle teams, office staff, clinicians, and external vendors
• Work independently with limited supervision to initiate and manage various functions and meet deadlines
• Demonstrate exemplary customer service to our Providers and office staff

 

Knowledge, Skills & Abilities:

Proficient knowledge of insurance models (Ie - PPO, State funded, DHMO) and billing regulations; strong written and verbal communication skills to communicate in clear, concise terms. Experience in revenue cycle operations.

 

 

Education:

• High School Diploma or equivalent

 

Experience:        

• 5 years’ experience preferred in healthcare revenue cycle management with at least 3 of those years’ experience in De