A/R Specialist

EMERGICON LLC Terrell, TX DOE
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PRIMARY FUNCTIONS:

The Accounts Receivable Specialist is responsible for reviewing claims to ensure maximum reimbursement by following up with insurance carriers and patients as well as recognizing any trends in reporting and communicating those trends to the lead and/or manager for review.

REPORTS TO/SUPERVISES:

The Accounts Receivable Specialist reports directly to the A/R Manager. This position works collaboratively with other Emergicon personnel in all departments.

ESSENTIAL DUTIES and RESPONSIBILITIES:

• Manage all claims over 90-days on the A/R reports in a timely manner

Work assigned denials and correspondence within 2 business days of receipt

Report all trends detected in A/R management

Prepare corrected claims and appeals, as needed

Process inbound and outbound calls as needed to insurance carriers and patients

Follow all state and federal collections and HIPAA laws

Align with & support Emergicon’s core values & behaviors

REQUIRED KNOWLEDGE AND EXPERIENCE:

• Maintain any certification applicable to job functions

Computer Literacy

Ability to communicate effectively and in a professional manner with patients, insurance carriers, co-workers, management and others 

Detail Oriented 

Knowledge of managed care plans, insurance, medical terminology

Knowledge of reimbursement fee schedules (Medicare and Medicaid)

Knowledge of refund processes and requirements

Ability to establish/maintain cooperative working relationships with staff

Ability to prioritize and multi-task 

PREFERRED KNOWLEDGE AND EXPERIENCE

Experience in Medicare A/R, appeals, correspondence and denials a plus!

Emergicon requires pre-employment drug and background screenings.

EMERGICON LLC is an EEO employer - M/F/Vets/Disabled
 
 
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