Accounts Receivable Specialist I at ColumbiaDoctors responsible for collection and follow-up on unpaid accounts. Supporting one of the largest multi-specialty practices in the Northeast.
Responsibilities
Responsible for follow-up work to collect on all open and unpaid accounts with insurance companies and third parties.
Inquiring about unpaid claims.
Appealing denied claims with insurance companies.
Contacting patients or account guarantor.
Exhibiting professional and courteous behavior at all times during communications.
Researching root issues of denial.
Pursuing proper course of appeal or follow-up to obtain payment.
Reviewing account history for continuous follow-up.
Addressing incoming correspondence.
Preparing correspondence to insurance companies, patients, and/or guarantor as necessary.
Documenting claim issues for review.
Escalating issues to Supervisor as appropriate.
Performing charge corrections.
Updating demographic and insurance coverage on accounts and billing new insurance as appropriate.
Performing other job duties as required.
Requirements
High school graduate or GED certificate is required.
A minimum of 6 months experience in a physician billing or third party payor environment.
Strong customer service and patient-focused orientation.
Ability to understand and communicate insurance benefits explanations, exclusions, denials, and the payer adjudication process.
Experience in Epic and/or other electronic billing systems is preferred.
Knowledge of medical terminology, diagnosis, and procedure coding is preferred.
Previous experience in an academic healthcare setting is preferred.
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