Intercept Health
  • Richmond, VA, USA
  • Full Time

Senior AR Specialist


  • 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.
Intercept Health
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