Job Description

AR Collection Specialists are responsible for all functions related to the follow-up of outstanding or denied claims. AR Collections Specialists are responsible for analyzing patient accounts, understanding and communicating with insurance companies, and utilizing all resources to resolve unpaid insurance balances quickly and accurately.

Duties and Responsibilities

• Follow up of all outstanding claims with no response from payers.
• Follow up on denied claims submitting appeals according to payer guidelines as needed.
• Ensure adherence to timely claims filing and appeal deadlines.
• Maintain knowledge of payer policies and portals to ensure compliance in billing and appeal processes.
• Document all follow-up and calls timely and accurately in the patients’ account in the billing system.
• Identify issues and trends, escalating as needed for quick resolution minimizing impact to revenue.
• Attend training sessions as required to maintain system knowledge.
• Maintain department productivity and ensure compliance with company policies and procedures.
• Assist in the development of policies, procedures, and systems to improve workflows, efficiencies, and to meet all goals/metrics that are set for the department.
• Maintain confidentiality of patient information and adhere to HIPAA regulations.
• Promote a culture that reflects the organization’s values, encourages good performance, and enhances productivity.
• Assist with other billing/collection duties and projects as needed.
• Other duties as assigned.

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