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Job Description
Job Id:
6021
# of Openings:
1
Alliance Spine and Pain Centers is seeking an AR Specialist!
We are an exceptional company to grow with and have an amazing work-life balance!
8 Major Holidays off, no weekends, no overnights and you'll never be On-Call!
Our company offers a highly competitive base compensation, up to eight (8) paid holidays per year,
comprehensive medical benefits, and a generous 401k!
Job Summary
Under the general supervision of the AR Team Lead, this individual is responsible for performing resolution-oriented follow up activity for government and third-party payors.
Essential Duties and Responsibilities
- Work individual portfolio of accounts through final resolution.
- Achieve productivity goals.
- Research all denials and follow-up as necessary.
- Assess insurance reimbursement for portfolio of accounts to ensure maximum reimbursement.
- Communicate identified trends that impact cash collections negatively to Management.
- Initiate appeals and ensure all required documentation is submitted in the appeals process.
- Research and follow up on all correspondence associated with assigned accounts, including EOB’s and documentation letters, and generate correspondence requesting required information, when necessary.
- Generate reports identifying trends or problem carriers, identify areas of concern and present ideas to correct or prevent future issues.
- Must maintain a high degree of confidentiality at all times due to access to sensitive information.
- Responsible for performing all duties in accordance with Company policies and procedures.
Education/Experience/Skills/Certifications
High school diploma or General Education Degree (GED). Minimum three (3) years of medical billing and collections experience necessary. Must be knowledgeable of reimbursement processes and procedures. Business knowledge and results oriented. Experience in medical billing and collections. Demonstrated ability to effectively investigate, analyze and problem solve. Knowledge of HMO, PPO, Managed Care, Indemnity and Government plans is required. Ability to interpret carrier policies and rules/regulations set by Medicare, Medicaid and Commercial Payors. Knowledge of CPT-4, ICD-10 and medical terminology required. Excellent communication, time management, and organizational skills. Possess ability to communicate appropriately and effectively. Ability to organize, prioritize and manage various work assignments in a fast paced environment. WORD and Excel experience preferred. Insurance and Medical Billing background required.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel and talk or hear. The employee frequently is required to reach with hands and arms. The employee is occasionally required to stand and walk. The employee must occasionally lift and/or move up to 50 pounds. Specific vision abilities required by this job include close vision, color vision, peripheral vision, depth perception, and ability to adjust focus.
Work Environment
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
The noise level in the work environment is usually moderate.
Possible exposure to infectious/contagious diseases, hazardous chemicals and materials, needle sticks, blood and body fluids.
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