Insurance AR Specialist
About this role
JOB DESCRIPTION
Insurance AR Specialist will coordinate the billing and collections for the practice. This includes posting payments, sending claims, correcting errors and appealing claims.
CLASSIFICATION
Non-Exempt
REPORTS TO
Director of Billing Services
ESSENTIAL JOB FUNCTIONS & 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. Follow up on past due insurance accounts, complete appeals, when appropriate. Assure that all billing contacts are noted in the computer system and appropriate documentation is maintained. Communicate account information with insurance personnel in a clear, precise and polite manner.
Review correspondence daily. Post deductibles and obtain all requested operative reports and medical records requests from insurance carriers. Follow up on all correspondence daily.
Review outstanding AR report for assigned payer monthly. Complete appeals, when appropriate. Assure that all billing contacts are noted in the computer system and appropriate documentation is maintained. Communicate account information with insurance personnel in a clear, precise and polite manner.
Prepare refunds requests.
Back up the payment posting specialist to insurance payments.
Balance deposits to the practice management system. Perform financial close after balancing has occurred.
Answer phones and provide assistance to patients regarding balance inquiries.
Maintain patient and personnel confidentiality at all times.
Maintain a high degree of professionalism when dealing with physicians, patients and co-workers.
Regular & prompt attendance on agreed upon daily and weekly start and end time.
EDUCATION & EXPERIENCE
Required
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.
Preferred
Some college
PHYSICAL DEMANDS & WORK ENVIRONMENT REQUIREMENTS
The employee is routinely required to sit for long periods of time, use a keyboard, mouse, telephone, headset, and other standard office equipment. Frequently communicate via text, email, phone, chat and video. This role requires the employee to commute to office and/or care center locations for staff meetings and hybrid-work, as required.
EXPECTED HOURS OF WORK
The core hours of work are Monday – Friday with an 8-hour work shift between the hours of 7:00 a.m. and 5:00 p.m.
OTHER DUTIES
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change as necessary.
Company at a glance
Austin Health Partners was founded by 3 independent care centers in the Austin area – Cedar Park Pediatric & Family Medicine, Southwest Pediatrics, and Treehouse Pediatrics.
We believe that independent physicians deliver the best quality care possible and we are here to continue to support them. So our mission is to help independent practices stay independent.
Smaller independent practices can struggle to keep up to date on value-based contracts, quality metrics and government regulations. Many practices are considering either closing their doors or selling their practice to hospital systems or larger corporations. We started this group for exactly these reasons. We firmly believe that physicians should be the leaders in healthcare and that independent practices provide better care at lower costs.
Austin Health Partners is comprised of independent practices that have joined under one Tax ID number. We have maintained our independent office, or care centers, with our own practice name, nurses, office managers and staff. We have decreased overhead significantly by creating a Central Business Office with professionals who manage billing, human resources, marketing and accounting for our care centers so that you can focus on caring for your patients.
To us, this is more than a job, it’s the health of our community.
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