Medical Billing/AR Follow-up - Remote | WFH

As an AR Support Specialist, you will play a crucial role in supporting our Accounts Receivable (AR) team by providing assistance, training, and ongoing support to ensure the team's success. You will be responsible for various duties aimed at optimizing productivity, quality, and efficiency within the AR department.
Duties And Responsibilities...
Assist AR representative team members by providing guidance, answering questions, and offering support to ensure their ongoing success.
Conduct initial training sessions on the client host system for new team members, ensuring a smooth transition and comprehensive understanding.
Collaborate with AR follow-up representatives to conduct research on A/R related projects and provide necessary assistance.
Track and monitor productivity and quality metrics of AR Representatives, identifying areas for improvement through one-on-one evaluations and feedback sessions.
Proactively follow up with payers via phone, email, fax, or websites to expedite the resolution of outstanding claims and ensure timely payments.
Maintain daily productivity and quality standards established in departmental policies, offering training support to address identified needs.
Utilize workflow systems, client host systems, and other tools to effectively collect payments and resolve accounts.
Adhere to established policies and procedures, including knowledge of timely filing deadlines for designated payers and initiating appeals when necessary.
Identify and correct medical billing errors, initiate appeals, and provide accurate information and supporting documentation for the recovery process.
Analyze and resolve issues causing payer payment delays, proactively identifying and trending claims issues to reduce denials.
Understand underpayments and credit balance processes, taking necessary actions to address discrepancies.
Perform special projects and other duties as needed, utilizing excel spreadsheets and effective communication to deliver results.
Act cooperatively and courteously with patients, visitors, co-workers, management, and clients at all times.
Handle patients' protected health information (PHI) in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.
Qualifications
Previous experience in insurance collections, including submitting and following up on claims for a Hospital, is preferred.
Familiarity with UB-04 claims processing and experience with the Client's host system is highly desirable.
Experience in training new users and providing ongoing support is an asset.
Knowledge of denied claims and appeals process, individual payer websites, medical terminology, CPT codes, modifiers, and diagnosis codes is advantageous.
Proficiency with MS Office, particularly Excel, is required.
Experience with practice management systems such as EPIC PB, Allscripts, or Cerner is preferred.
Strong Communication Skills, Both Oral And Written, Are Essential.
Excellent organizational skills and the ability to work effectively both independently and as part of a team are necessary for success in this role.
Employment Type: Full-Time

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