About this role
This is an on-site position located at the Birmingham Business Office.
Summary
Under general supervision, an AR Account Follow-Up Specialist is responsible for account follow-up for all assigned accounts, resolving billing problems and answering patient inquiries. Uses collection techniques to keep accounts receivable current including monitoring for delinquent payments. The Account Follow-Up Specialist will review insurance claims and take appropriate action including completion of submissions, reconsiderations, appeals, and denial management to ensure payment is received timely.
Essential Duties and Responsibilities
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Performs audits of patient accounts to ensure accuracy and timely payment.
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Follows up on insurance billing to ensure timely receipt of payments.
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Demonstrates the ability to deal with patients and insurance companies regarding sensitive financial matters and recapture unpaid balances.
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Receives and resolves patient billing complaints and questions; initiates adjustments as necessary; follows up on all zero payment explanations of benefits and exercises all options to obtain claim payments.
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Reviews credit balance reports for correct recipient of refund.
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Performs reconciliation of refund accounts; attaches documentation and forwards to supervisor to process refund checks.
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Identifies problems on accounts and follows through to conclusion.
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Responds to insurance companies requests for information in a prompt and professional manner.
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Reviews EOBs to ensure proper reimbursement of claims and reports any problems, issues, or payor trends to supervisor.
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Prepares write-off requests with appropriate documentation and submits to supervisor.
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Processes insurance/patient correspondence.
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Works with provided aging to monitor patient account aging and follows up appropriately.
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Maintains confidentiality in regard to patient account status and the financial affairs of clinic/corporation.
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Other relevant duties as assigned
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Demonstrated knowledge of the federal, state, and local regulatory requirements around medical billing and coding as well as CMS and payer regulations.
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Ability to work independently.
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Able to manage multiple projects at once working efficiently and effectively under tight deadlines.
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Experience with oncology billing experience highly desirable.
Requirements
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High school diploma
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1 plus years of experience
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Experience in medical billing /insurance processing and balancing accounts