Accounts Receivable (AR) Specialist (Physician Medical Billing), Hybrid
- Westchester, IL Chappaqua, NY
- Permanent
- Full-time
- Proven experience in physician medical billing, specifically with Medicare Part B and in-network Managed Care.
- Familiarity with medical coding modifiers and handling large-volume billing.
- Hours: 8:30 AM - 4:30 PM or 9:00 AM - 5:00 PM
- Lunch: 1-hour paid lunch
- Hybrid, working from the office on Monday, Wednesday, and Friday OR Tuesday, Wednesday, and Friday.
- Account Collection: Manage the collection of outstanding accounts for assigned payers, which involves contacting payers and patients via phone and online, and appealing denied or incorrectly paid claims.
- Payer Appeals: Prepare and submit payer appeals through mail, phone, or online platforms.
- Documentation: Accurately document actions taken to collect outstanding balances on patient accounts and attach relevant documents.
- Follow-Up: Conduct timely follow-ups on outstanding claims, communicating with payers, patients, referring providers, and facilities as necessary.
- Trend Monitoring: Monitor denied claims for trends and issues, reporting findings to the Senior Team Lead.
- Daily Correspondence: Review and address daily correspondence effectively.
- Data Updates: Update patient or insurance information in accounts as needed.
- Customer Service: Provide excellent customer service by answering incoming calls during business hours.
- Productivity Standards: Meet established productivity standards.
- Compliance: Adhere to all HIPAA regulations and maintain patient confidentiality.
- Additional Tasks: Complete other job-related duties as assigned.
The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g. location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget, and internal equity).