- Richmond, VA, USA
- Full Time
Senior AR Specialist
Qualifications:
- 3+ years experience in a medical billing office.
- Strong preference for experience working in Behavioral Health setting.
- Advanced excel knowledge is a must.
- Knowledge of UB04, CMS 1500, current ICD 10 and HCPCS.
- Strong knowledge of Industry rules/regulations, such as the False Claims Act, as well as proper claims submission, coding rules, and billing knowledge for government payers, commercial payers, and patient billing.
- Demonstrated understanding of medical terminology
- Knowledge of patient confidentiality and HIPAA regulations
- Knowledge of CPT, HCPCS, and ICD10 coding
- Knowledge of medical billing and collection practices
Knowledge working with electronic health records (EHR/EMR) or healthcare related computer
Position Description:
- Verifies patient's insurance coverage and payer authorization for the services.
- Working directly with the insurance company, healthcare provider, and patient to get a claim processed and paid.
- Reviewing and appealing unpaid/denied claims and handling escalated claims.
- Manages the facility's Accounts Receivable reports from four different EHRs.
- Perform ongoing monitoring of accounts worked to ensure maximization of collection dollars through appropriate follow-up and documentation of actions taken in patient accounting system.
- Review remittance advices for denials and trends for the payers assigned. Referring all payer issues/problems to the Supervisor in a timely manner.
- Researching, reviewing and adhering to all federal, state and local regulatory collection guidelines, as well as payer specific billing/collection guidelines.
- Training the team members when required.
- Assisting the supervisor in work assignment and in other duties.
- Practices efficient methods for getting work done; strong ability to prioritize workload
- Organized; sets priorities; meets deadlines
- Participate in special projects or other responsibilities as needed or assigned.
- Must meet the daily productivity goals.
- Carries out the mission, vision, values and quality commitment of Intercept.
- Knowledge of and adheres to HIPAA compliance guidelines.
