Accounts Receivable Specialist

US Heart & Vascular is seeking a Remote Accounts Receivable Specialist to join the team at Cardiology Specialist of Acadiana in Lafayette, LA.

Position Summary

Achieve maximum revenue collections from insurances and patients through timely entry, filing, and follow-up; maintain thorough and accurate transaction and correspondence records on patient accounts; provide insurance claims education to patients; post payments and adjustments; and reconcile batches and accounts.

Responsibilities

• Demonstrate thorough understanding of medical insurance terminology, ICD-10 coding, CPT-4 coding, remittance advice, and explanation of benefits forms.
• Understand health insurance guidelines, especially Medicare, Medicaid, HMOs, and PPOs.
• Post remittance advice or explanation of benefits electronically or manually.
• File primary and secondary claims in a timely manner.
• Batch and post insurance and patient payments and adjustments correctly in accordance with policy, procedure, and assigned timeframes.
• Ensure assigned accounts are managed timely for outstanding insurance, denials, filed rejections, and payment appeals within 30 days.
• Follow up on unresolved claims no less than every 30 days.
• Thoroughly document tasks performed on each patient account in the EMR.
• Seek patient collections on overdue accounts.
• Process and enter charges with correct diagnoses and modifiers within 48 hours of charge availability in the billing module.
• Prepare clean and timely claims for insurance.
• Greet patients professionally in person or by telephone, determine their needs, and respond accordingly.
• Educate patients on insurance as needed.
• Obtain and review current and accurate demographic and insurance data, including insurance cards, in the patient registration system.
• Verify medical insurance coverage and document benefits information as needed.
• Utilize EMR and PM systems accurately.
• Perform other services deemed reasonable by the supervisor.