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Accounts Receivable Specialist

BioTAB Healthcare
Maryland Heights, Maryland, United States
Closing date
Feb 15, 2024

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Job Role
Accounts Receivable
Contract Type
Full Time
Position Summary

The Accounts Receivable Follow Up Specialist performs resolution oriented activities with a focus on comprehensive medical billing and collection activity. The specialist is responsible for efficient cash collection through excellent reimbursement practices while ensuring compliance with relevant laws, regulations and established company policies and compliance programs.

Essential Duties and Responsibilities

The essential functions include, but are not limited to the following:
  • Work assigned lists of outstanding claims balances and patient accounts with multifaceted issues across different payers and patients
  • Identify trends, conduct follow-up and perform root analysis on unpaid and underpaid insurance claims across different payers
  • Diagnoses and reports to management customer issues with regards to rejection trends and denials, working to improve end-to-end business processes
  • Analyze and resolve billing discrepancies on patient
  • Perform actions towards remediation of outstanding balances according to policy and procedure; including but not limited to in depth research, appeals, rebilling, calling the payer or clinic and utilizing payer portals
  • Navigate through various payer systems. Provider portals and internal software applications to ensure timely and accurate claims resolution
  • Build and maintain strategic business relationships with internal and external partners
  • Uses exceptional organization, written and verbal communication skills in order to produce detailed documentation of research and actions taken on claims
  • Willing to support all members of the team
  • Comply with all HIPAA and privacy regulations
  • Adhere to laws and best practices in regards to dealing with patients and patient data
  • Perform other job-related duties as assigned

Minimum Qualifications (Knowledge, Skills, and Abilities)
  • High School Diploma or GED, required
  • Medical account payment experience, minimum 2 years required
  • Medical billing knowledge and experience, minimum 2 years required
  • Experience with patient call, collections and billing, minimum 2 years required
  • Knowledge of accounting practices and procedures, minimum 2 years required in processing accounts payable and accounts receivable
  • Above average knowledge of posting insurance payments, adjustments and offsets
  • Understanding of medical terminology
  • Must have good computer skills, experience with Microsoft Office, required
  • Experience with 10-key calculator
  • Able to communicate clearly, both orally and in writing
  • Able to work effectively with a wide range of people
  • Time management skills
  • Excellent organizational skills and attention to detail

Physical Demands and Work Environment

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the functions.
  • Must be able to work onsite at our corporate headquarters in Maryland Heights, MO
  • Must be able to work in an office setting, use a computer, keyboard and mouse for the majority of the shift and be able to communicate on the telephone
  • Must be able to work the scheduled 8 hour shift Monday-Friday
  • Work from home is available at supervisors discretion and as business needs allow, in accordance with the BioTAB Work From Home Policy

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