Accounts Receivable Specialist

Submit corrected claims and/or appeals to appropriate insurance. Ensure claims are being sent to correct insurance and/or address. Complete a high level on claims: 80-100 a day. Investigate claims for ensure they are processed correctly. Follow up on claims to ensure payment received or if any other course of action is necessary. Follow up with insurance if needed. Call insurance companies when necessary to complete a claim/have over phone reprocessing of claim. Refund patients and or insurance companies when appropriate by adding to refund log. If working in RCM services desk, ensure you are completing tickets coming in that are assigned to you, 50 ticket if applicable. Completing special AR projects (not limited to refund and complaint logs) in a timely manner, when assigned. When applicable mail out reconsiderations and/or appeals. Clear discrepancies in various bank reconciliations and refunding the account if necessary. Provide backup documentation of refund checks or refund receipts as requested by patient. Demonstrates competency in the performance of job-related skills appropriate to his/her customer populations and departmental services while providing excellent customer service. Utilizes and operates equipment and mechanical devices which provide for a functional, effective, and safe environment. Adheres to policies, procedures, guidelines relative to departmental operations. Working internal chats if assigned. Excellent communication and interpersonal skills, with a drive to exceed expectations. Solid work ethic; ability to research, analyze data, and demonstrate effective problem solving. Sense of urgency regarding quality of work, results oriented. Self-motivated and able to work with minimal supervision in a team environment. High degree of professionalism and comfort working with internal and external customers. Problem-solving, critical thinking skills with the ability to research and analyze data.