Medical Accounts Receivable Specialist

Description

Job Title: Medical Accounts Receivable Specialist

Job Type: Full-Time

Location: Hybrid, requiring 2 to 3 days in the office; Remote option available for candidates not in the local area. Must live in TX, TN, NC, SC, CO, NJ, OK, or AL.

Providence Anesthesiology Associates is seeking a highly motivated and experienced Medical Accounts Receivable Associate to join our team. The ideal candidate will have at least one year of experience in healthcare/medical accounts receivable and a strong understanding of medical billing.

Requirements

SUMMARY: The Accounts Receivable (AR) Representative is responsible for timely and accurate insurance follow-up and claims denial management in accordance with Providence Anesthesiology Associates policies and procedures. The AR Representative analyzes denied claims to determine what corrections need to be made for the claims to process correctly. The position requires strong problem-solving skills, attention to detail, and a commitment to improving efficiencies within the AR Team. 

Essential Duties and Responsibilities

Duties include but are not limited to:

• Performs the daily tasks related to AR Team aging, denial management, and credit balance reports to ensure accuracy and timeliness of AR resolution for multiple external clients. 
• Identifies and corrects billing errors and resubmits claims to insurance carriers. 
• Reports AR billing issues and discrepancies to the AR Supervisor and Team Leads and assists with resolution. 
• Resolves reimbursement discrepancies by analyzing information and notifying AR Supervisor. 
• Identifies billing requirements by researching and talking with payers via phone. 
• Initiates appeals with commercial and government insurance payers.
• Demonstrates thorough understanding of insurance reimbursements and implementing procedures that ensure optimum collection in a manner compliant with Federal and State regulations. 
• Identifies claims denial trends and reports them to the AR Supervisor. 
• Ensures compliance with all Health Insurance Portability and Accountability Act (HIPAA) standards. 
• Performs other duties as required or assigned within the scope of responsibility. 

Skills and Qualifications

To perform this job successfully an individual must be able to perform each essential duty to a satisfactory standard. The requirements listed below are representative of the knowledge skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 

Education: High school diploma or equivalent is required. An associate degree is preferred. 

Experience:   Over one (+) years of experience in healthcare/medical accounts receivable is required; medical billing is preferred.

License/Certification: Valid driver’s license required.

Language Skills: Demonstrated ability to exercise excellent oral and written communication skills.    

Computer Skills: Experience with medical billing software systems is required. Strong Microsoft Excel skills are required. Proficiency in Microsoft Outlook, TEAMs, Word, and PowerPoint is also required. 

Reasoning Ability: Ability to organize and manage personal workload. Ability to achieve and maintain strong working knowledge of anesthesia billing operation practices.

Physical Demands and Work Environment

The physical demands described here are representative of those that must be met by any Employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.  

Hybrid based position, requiring two to three days of being in the office, with standard working hours. While performing the duties of this job, the employee is regularly required to sit, stand, walk, use hands to finger, handle, or feel, reach with hands and arms, and talk or hear. The employee is occasionally required to stoop, kneel, crouch, or crawl. The employee must occasionally be able to work in a standing position for long periods of time and up to the entire shift. Travel is primarily local during the day, although some out-of-area and overnight travel for conferences may be required. Air travel may also be required. 

About Providence Anesthesiology Associates Headquartered in Charlotte, North Carolina, Providence Anesthesiology Associates (PAA) is an independent physician owned pra