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Accounts Receivable Specialist

Charlotte Gastroenterology & Hepatology   Charlotte, NC   Full-time     Accounting
Posted on July 29, 2022

The Accounts Receivable Specialist is needed at our Mooresville location.

Position is responsible for the review and follow-up on accounts to ensure timely payment from insurance or patients.

ESSENTIAL FUNCTIONS:

  1. Read and understand Explanation of Benefits from various insurance companies.  Follow-up with insurance companies and ensure claims are paid. 
  2. Appeal payer denials per protocol.
  3. Identifies and resolve patient billing inquiries to ensure quality patient service. 
  4. Posting payments and charges to accounts, as needed. 
  5. Review and analyze AR reports incorporating payer payment guidelines to resolve accounts effectively.
  6. Review and resolve account balances ensuring payment is received.
  7. Participates in staff educational activities as requested. Keeps current with health care trends and practices.
  8. Other general office duties as assigned by Billing Office Manager.

 

EDUCATION:  High School Diploma

 

EXPERIENCE:  Minimum of one year accounts receivable experience, preferable within a health care organization.  Employment within a health insurance company with similar duties may be substituted. Additional education and/or general office experience is beneficial.

 

QUALIFICATIONS (Knowledge, Skills, and Abilities):  The job holder must demonstrate current competencies applicable to job position including but not limited to:

  1. Ability to collect on delinquent accounts with payers or patients.
  2. Knowledge of the Fair Debt Collection Practices Act.
  3. Knowledge of computer systems, programs, applications.
  4. Knowledge of medical terminology, CPT and ICD-9 Codes, modifiers.
  5. Knowledge of medical billing/collection practices. 
  6. Knowledge of HIPAA guidelines.
  7. Knowledge in medical coding.
  8. Skill in general office procedures, data entry/ten key, telephone etiquette.
  9. Good oral and written communication. 
  10. Skill in gathering, analyzing, and evaluating data.
  11. Excellent customer service skills are required.
  12. Knowledge of payer guidelines.