Medical A/R Specialist

The Medical Accounts Receivable Specialist is responsible for reviewing claims to ensure 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.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Manage all claims over 60-days on the A/R reports in a timely manner
• Work assigned denials and correspondence
• Utilize clearinghouse and insurance portals for claim status
• 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
• Follow all state and federal collections and HIPAA laws
• Other job-related duties as assigned
  

 KNOWLEDGE AND EXPERIENCE REQUIRED 

• HS Diploma/GED
• Medical A/R experience required/EMS billing preferred
• Maintain certifications applicable to job functions
• Computer literate with ability to type a minimum of 40 WPM
• Ability to communicate effectively and in a professional manner 
• 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 

KNOWLEDGE AND EXPERIENCE PREFERRED

Experience in Medicare A/R, commercial insurances, appeals, correspondence, and denials is a plus.

Emergicon requires satisfactory pre-employment background check and drug screen.