Billing and Accounts Receivable Specialist

The Billing and Accounts Receivable Specialist is responsible for managing the accounts receivable, ensuring compliance with regulatory guidelines and specific payer rules. This role involves collecting outstanding receivables, accurately billing insurance claims, and resolving charge review edits, claim edits, and clearinghouse and payer rejections. Additionally, the specialist follows up on outstanding receivables, completes basic appeals, and responds to inquiries from patients, insurance companies, attorneys, public agencies, internal departments, and 3rd party payers.

• Identifying and resolving billing and insurance set up errors
• Resolution of charge review edits, claim edits, and clearinghouse and payer rejections
• Submitting claims for assigned payers, including corrected and voided claims
• Performing collection activities on outstanding receivables
• Reviewing and resolving incoming correspondence
• Resolving underpayments, no payments, overpayments, and undistributed payments
• Preparing, completing, and following up on designated payer reports and forms
• Responding to inquiries from patients, insurance companies, public agencies, internal departments, and 3rd party payers
• Performing other duties as assigned