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.