Medical Accounts Receivable Specialist

Pay rate up to $27 per hour, based on experience

Opportunity to earn performance-based increases, after hire

Hybrid/Remote work structure - candidates must be based in Pennsylvania

Job Summary:

Responsible for recovery of self-pay balances due. Communicates with patients and outside agencies regarding payment issues. Establishes reasonable payment arrangements, determines charity eligibility, and recommends write-offs according to policies.

Responsibilities:

Ability to perform peer to peer training
Go to person for escalated accounts
Advanced knowledge of Microsoft Office
Ability to communicate with multiple levels of management
Perform duties and job responsibilities in a fashion, which coincides with the service management, including the demonstration of “The Basics of Service Excellence” towards patients, visitors, staff, peers, physicians and other departments within the organization.
Verify accuracy of payment posting and reimbursement. Work with appropriate payer and/or department to resolve any payment discrepancies.
Understand third party billing and collection guidelines
Proficient working multiple payers
Identify root cause issues and demonstrate the ability to recommend corrective action steps to eliminate future occurrences of denials. Assist in claim appeal process and/or perform follow-up in accordance with Revenue Cycle policies and procedures.
Demonstrate knowledge of the current functionality of the patient accounting system
Identify issues and submit corrective action recommendations
Ability to work independently with minimal supervision
Ability to understand complex reimbursement issues
Managed assigned book of business by ensuring the timeliness and accuracy of billing, collections, contractual postings, payments and adjustments of accounts based upon their functional area standards.
Evaluate and recommend referrals to agency, law firm, financial assistance and bad debt
Actively engaged in process improvement for efficiency gains. Able to review complex issues, determine the root cause issue and present a solution that will result in a cost reduction the majority of the time.
Meet quality assurance benchmark standards and maintain productivity levels as defined by management.

Qualifications:

High school diploma or equivalent and 3 years of billing, registration or patient business services or equivalent combination of education and experience
Excellent interpersonal, organizational, communication and effective problem-solving skills are necessary
Must be able to communicate with patients, payers, outside agencies, and general public through telephone, electronic and written correspondence
Prior working experience in billing/collections, denials, credit balances and/or various payers
This position requires organization and time management skills
The incumbent must develop and manage relationships with colleagues in a professional, independent manner
The position requires the ability to maintain confidentiality with regard to all assignments.