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Accounts Receivable Specialist

Job Posted 1/28/2025
ProCo LLC
Marietta, GA 30064
United States
Category Accounting
Job Description
Position Description:

The AR (Accounts Receivable) Specialist position is a part of the Insurance Collections Department that assists with Insurance Collections through routine follow up, pre authorizations, and denial management techniques.

Position Duties:

This position requires the following to successfully execute all job functions:
  • Obtains and documents bill payment status
  • Send medical records to insurance payers
  • Resolves AR denials correctly
  • Sending pre- drafted appeal letters
  • Confirm receipt of claim documents
  • Adjusts balances according to any applicable fee schedules
  • Confirm correct payment of claims
  • Request supporting documentation from insurance carriers
  • Provide detailed chart and encounter notes
  • Document payments made to patients, attorney, and expected payments to our facilities
  • Obtain missing information from patients
  • Answer Billing/Collections line and "Zero line for all corporate departments
  • Answer patient phone calls regarding billing questions
  • Provide explanations of billing
  • Respond to group emails and department requests in a timely manner
  • Confirm, document, and obtain prior authorization of procedures
  • Review and correct electronic claim errors
  • Submit Provider maintenance.
  • Ensure all surgical charts have complete verification details available in chart
  • Coordinate with other AR Specials and departments to resolve billing errors
  • Complete all other assigned tasks from management after completion of all previously mentioned duties.

Position Expectations:

To perform the position successfully, an individual is expected to:
  • Understand and manage AR denials
  • Understand medical terminology and practices
  • Be detail oriented and focused
  • Use knowledge of system functions and Microsoft suite.
  • Understand revenue cycle
  • Be goal oriented and metric focused
  • Work well with others
  • Maintain a positive attitude
  • Use effective communication methods
  • Multi-task
  • Use resources available to overturn AR denials
  • Monitor emails closely

Position Metrics:

The execution of the position is quantifiably measured by the following:
  • Production
  • Department Collections
  • Company collections

Requirements

Education:
  • High School diploma; additional certifications or degrees are a plus but not required

Experience:
  • 1 + years of experience in Insurance collections or medical billing.

Required Skills:
  • Understanding of Insurance collections process.
  • Ability, and willingness to meet deadlines.
  • Strong attention to detail.
  • Basic knowledge of Microsoft suite.
  • Team player attitude, and the ability to cohesively work with colleagues on all levels.

Position Miscellaneous:
  • Hourly; Non-Exempt
  • 40 hours per week; extended work hours may be approved by management to meet deadlines
  • Successful attainment of individual and department goals is critical.
  • Additional duties can be assigned by management upon completion of normal position duties within reason.

Physical Demands:
  • Frequent sitting;
  • Frequent manipulation of documents.
  • Frequent typing or use of keyboard.
  • Occasional lifting up to 10-15 pounds.
  • Occasional stooping and bending.