Nurse delivering patient care utilizing nursing process in Cardiovascular Associates of Virginia. Collaborating with healthcare team and coordinating patient care.
About the role
- Accounts Receivable Specialist I at ColumbiaDoctors responsible for collection and follow-up on unpaid accounts. Supporting one of the largest multi-specialty practices in the Northeast.
Responsibilities
- Responsible for follow-up work to collect on all open and unpaid accounts with insurance companies and third parties.
- Inquiring about unpaid claims.
- Appealing denied claims with insurance companies.
- Contacting patients or account guarantor.
- Exhibiting professional and courteous behavior at all times during communications.
- Researching root issues of denial.
- Pursuing proper course of appeal or follow-up to obtain payment.
- Reviewing account history for continuous follow-up.
- Addressing incoming correspondence.
- Preparing correspondence to insurance companies, patients, and/or guarantor as necessary.
- Documenting claim issues for review.
- Escalating issues to Supervisor as appropriate.
- Performing charge corrections.
- Updating demographic and insurance coverage on accounts and billing new insurance as appropriate.
- Performing other job duties as required.
Requirements
- High school graduate or GED certificate is required.
- A minimum of 6 months experience in a physician billing or third party payor environment.
- Strong customer service and patient-focused orientation.
- Ability to understand and communicate insurance benefits explanations, exclusions, denials, and the payer adjudication process.
- Experience in Epic and/or other electronic billing systems is preferred.
- Knowledge of medical terminology, diagnosis, and procedure coding is preferred.
- Previous experience in an academic healthcare setting is preferred.
Benefits
- Competitive comprehensive Benefit package
- Healthcare
- Paid Time off
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