Accounts Receivable Specialist

$33,280 - $41,600/Yr

Tampa Bay Medical Billing - Saint Petersburg, FL

Full-time

Saint Petersburg, FL

Professional, Scientific, and Technical Services

About the position

The Accounts Receivable Specialist plays a crucial role in a medical billing office, primarily responsible for managing accounts receivable for a large group of physicians and surgeons. This position involves working closely with insurance carriers to ensure timely collection of payments, handling claim denials, and maintaining accurate account records to maximize reimbursement.

Responsibilities

• Take appropriate action on denied charges to ensure claims are paid on the first follow-up call or appeal.
• Work assigned worklists, aging and denial reports to accomplish the set goal for the position.
• Responsible for learning, understanding and following payer guidelines.
• Notify management of payer policy changes.
• Ensure appropriate information is submitted to insurance companies in order to expedite payment.
• Complete appropriate adjustments and refund requests based on contract, modifiers or appeal denials.
• Handle incoming calls for information requests from insurance companies and patients.
• Reallocate misapplied payments and adjustments.
• Work special projects, as assigned.
• Utilize coding resources (CPT, ICD-10) to understand procedures that are denied.
• Document accounts correctly for actions taken.
• Ensure compliance with all company policies and procedures.
• All other duties assigned by the manager to support the goals of the billing office.

Requirements

• High school diploma or equivalent.
• Knowledge of medical insurance, medical billing software, and basic medical terminology is required.
• Minimum of two years accounts receivable, medical billing, insurance eligibility, authorization/referral experience is preferred.
• PC literate in Excel, Word, and Outlook.
• Working knowledge of Medicare, Medicaid, and Commercial insurance is preferred.
• Excellent communication skills.

Benefits

• 401(k)
• 401(k) matching
• AD&D insurance
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance