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AR Specialist - Marietta, GA

Quick Facts
Company Name:AMAC
Location:Marietta, GA
Employment Type:Full Time
Category:Medical Insurance
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Description

Job Functions

The primary responsibility of the AR Specialist is to actively and efficiently work all areas of accounts receivable of assigned clients to include the following:

  • Insurance correspondence
  • Denials
  • Appeals
  • Actively review, prepare, and submit insurance refund requests and account adjustments
  • Review, prepare, and submit claims to third party payers (primary and secondary) according to established policies and procedures
  • Ensure all corporate guidelines are maintained and practiced daily
  • Maintain a "team player" attitude at all times
  • Communicate professionally with management, peers, and external contacts
  • Report denial trends to RCM
  • Additional projects as assigned

Requirements

  • Knowledge of CPT codes, HCPCS codes, ICD-10 coding and CMS 1500 forms
  • Two years of patient accounting experience including utilization of a computerized billing system
  • Extensive knowledge reading and understanding an EOB
  • Extensive knowledge of VA, government, and commercial insurance products, including but not limited to denial, appeals, and refund research process, patient collection experience, preferably in a physician office
  • Ability to multi-task, prioritize, and work with large volumes
  • Mathematical calculation ability, analytical skills, medical terminology, verbal and written skills
  • Ability to effectively use web-based applications and service portals
  • Mid to advanced level user of Excel, Outlook, and Word
  • Experience in radiation oncology a plus
  • GE Centricity PM system experience a plus

Education/Certifications

  • High school diploma or equivalent required
  • CMRS, CPB Certified Medical Reimbursement Specialist or Certified Professional Biller preferred, or equivalent combination of education, training, and experience