Job Description
The Accounts Receivable Coordinator position is responsible for overall AR management, coding, coding documentation and as well as any other business office projects assigned.
Essential Functions : - Follows and reports on status of delinquent accounts; has plan for collection and aggressively pursues. Documents work performed and action taken.
- Researches and resolves client billing issues. Monitors reimbursement rates from insurance companies.
- Reviews daily/weekly/monthly aged receivables report for accounts that require follow-up.
- Follows all insurance regulations.
- Prepares and timely files appeals for denied or underpaid claims.
- Maintains strictest confidentiality; adheres to all HIPAA guidelines and regulations.
- Excellent oral, written and interpersonal communications skills
- Audits patient accounts in practice management system and update as necessary, process refunds as needed.
- Perform documentation and coding audits to ensure compliance with Medicaid and other insurance guidelines.
- Maintains and sustains completion of tasks that are assigned to ensure corrections that are required are completed to resolve the account.
Non-Essential Functions/Other Duties : - Performs any other tasks assigned by management
Supervisory Responsibility : Not applicable.
Travel Required : Minimal.
Physical Demands : This is largely a sedentary role, with frequent sitting and computer keyboarding (10-key) required. Some lifting (up to 35 pounds), stooping and bending are required.
Qualifications : Education: - High school diploma or equivalent.
- Prefer coursework and/or experience in medical and/or health insurance billing, medical records management.
Experience: - At least two years of previous medical insurance, billing, or claims processing related experience.
- Comprehensive understanding of accounts receivable in a healthcare setting
- Strong understanding and experience in billing processes and appeals.
- Working knowledge of managed care plans, insurance carriers, referrals and pre-certification procedures
- Strong knowledge of ICD-10, CPT, HCPCS, modifiers and coding documentation guidelines. CPT and ICD-10 certification a plus.
Skills and Competencies: - Strong keyboarding and computer skills to include MS Office (Word and Excel) experience at an intermediate level. 10-key data entry proficiency.
- Knowledge of medical coding and third-party operating procedures and practices as well as knowledge of financial concepts.
- Experience working with basic office machinery and equipment, including computers, copiers, fax machines, multi-line phone systems, etc.
- Knowledge of HIPPA privacy and security rules and regulations.
- Excellent interpersonal skills, with the ability to communicate effectively with others.
- Strong organizational skills, with the ability to multi-task and meet deadlines.
- Demonstrates initiative, with the ability to manage self and workload.
- Strong analytical and problem-solving abilities. Good mathematical aptitude.
- Exemplary customer service focus, for both internal and external clients.
- Able to work both independently and be self-directed, as well as being able to perform in a team atmosphere.
- Displays professionalism and represents organization in a professional manner.
- Ability to abide by ethical guidelines and policies, including strict adherence to confidentiality and HIPPA guidelines.
Other: - Must be 18 years old or older.
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