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About the Role
The Insurance AR Specialist will coordinate the billing and collections for the practice, including posting payments, sending claims, correcting errors, and appealing claims.
Responsibilities
- Assure electronic submission of claims/bills is correct and performed in a timely manner.
- Work electronic claim reports, including claim rejections.
- Identify accounts that need appeal from payment batches and follow up on past due insurance accounts.
- Complete appeals when appropriate and ensure all billing contacts are noted in the computer system.
- Maintain appropriate documentation and communicate account information with insurance personnel clearly, precisely, and politely.
- Review correspondence daily, post deductibles, and obtain all requested operative reports and medical records.
- Review outstanding AR report for assigned payer monthly.
- Prepare refund requests.
- Back up the payment posting specialist for insurance payments.
- Balance deposits to the practice management system and perform financial close.
- Answer phones and assist patients with balance inquiries.
- Maintain patient and personnel confidentiality.
- Maintain a high degree of professionalism when dealing with physicians, patients, and co-workers.
- Ensure regular and prompt attendance.
Requirements
- High school diploma or GED.
- Prior experience with physician billing and collections or in the insurance industry.
- Four (4) years of experience working in a physician office or healthcare facility.
Skills
- Billing
- Collections
- Posting payments
- Sending claims
- Correcting errors
- Appealing claims
- Claim submission
- Claim rejection analysis
- Account follow-up
- Documentation maintenance
- Communication with insurance personnel
- Correspondence review
- Refund preparation
- Payment posting
- Deposit balancing
- Financial closing
- Patient balance inquiries
- Confidentiality
- Professionalism
Work Type
- Onsite
Experience Level
- 4 years of experience
Education Level
- High school diploma or GED
- Some college