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Medical Billing - Accounts Receivable Specialist

Company: GoPath Laboratories
Location: Buffalo Grove
Posted on: November 18, 2022

Job Description:

_Accounts Receivable Specialist - Medical Billing _ Job Description This position is responsible for the overall recovery and management of accounts receivable as it relates to maximizing accounts receivable collections for our organization and our clients. The position involves detailed research and follow-up on medical insurance claims and the preparation of appeals and responses to efficiently interact with insurance carriers and resolve the claim. The A/R Specialist is also responsible for handling all correspondence related to patient accounts (e.g. statements, return mail, bad debt balances). The position supports the company's overall Operations and Client Services by efficiently and effectively driving the accounts receivable process and showing results. Duties & Responsibilities: Strong customer service skills; answering client, patient and carrier calls; prompt return and follow up to all interactions; prompt response to requests for information. Timely management of unpaid claims as assigned, through the use of the aging reports; correspondence; Clearinghouse, rejections and other notifications (EDI). Effectively handle complex payer denials; responsible to ensure that secondary claims are sent and paid. Monitoring and reconciliation of claims to include: Held Claims, Unbilled Claims, Client Bills, Denial trends, patient balance reports, credits and refunds. Manage and track information requests to client. Answer and resolve all incoming calls and requests in a timely manner. Complies and enforces and policies and procedures. Achieve goals set forth by supervisor regarding error-free work, transactions, processes and compliance requirements. Other duties as assigned. Experience/Training/Education: High School Diploma or GED required. Must have 2+ years in a Healthcare billing role. Knowledge, Skills, and Abilities Knowledge of HMO/PPO, Medicare, Medicaid, and other payer requirements and systems. Extensive knowledge on use of email, search engine, Internet; ability to effectively use payer websites; knowledge of and use of Microsoft Products: Outlook, Word, Excel. Preferred experience with KAREO. Use of computer systems, software, 10 key calculator Effective communication abilities with team members and outside customers and payments, including communicating with patients and family members of diverse ages and backgrounds. Able to work in a team environment. Problem-solving skills to research and resolve discrepancies, denials, appeals, collections. Knowledge of accounting and bookkeeping procedures. Knowledge of medical terminology likely to be encountered in medical claims. Extensive knowledge on use of email, search engine, Internet; ability to effectively use payer websites; knowledge of and use of Microsoft Products: Outlook, Word, Excel. Preferred experience with KAREO.We offer competitive compensation and a great work environment. If you are someone looking to use your talents to help our clients meet their needs, and work with an exciting team, we want to hear from you.Job Type: Full-timeJob Type: Full-timePay: From $23.00 per hourBenefits: 401(k) Dental insurance Health insurance Life insurance Paid time off Vision insuranceSchedule: 8 hour shift Day shift Monday to FridayCOVID-19 considerations:Face mask is optionalExperience: Medical billing: 2 years (Preferred) Medical collection: 2 years (Preferred)Work Location: One location

Keywords: GoPath Laboratories, Buffalo Grove , Medical Billing - Accounts Receivable Specialist, Accounting, Auditing , Buffalo Grove, Illinois

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