Job Description

Job Description

Accounts Receivable Specialist

Location: Louisville, KY (Onsite)

Full Time: Monday-Friday, Day Shift

Requirements:

• High school diploma or equivalent (required)
• Working knowledge of CPT, HCPCS, and ICD-10 coding (required)
• Advanced knowledge of denial types and resolution steps
• 3 years related experience (required)
• Strong computer and keyboarding skills
• Strong communication and problem solving skills
• Proficient with data entry and multitasking in a Windows environment
• Desired experience with Microsoft Office Software (preferred)
• Ability to meet productivity and quality standards
• Ability to communicate verbally/in writing with professionalism
• Familiar with Echo and Paceman
• Familiar with Epic

Responsibilities:

• Experienced in calling payers and doing the research we well as re-processing claims
• Able to complete 60 cases a day with a 90% Accuracy
• Monitor and execute work within the Epic Work Queues
• Research and resolve claim denials or rejections based on work team assignment
• Key claim detail information into various payor websites, upload medical records to various websites to resolve denials
• Follow up with correct insurance companies for claims with no response or for claims denied due to incorrect insurance information or denials for authorizations.
• Update charges and refile electronic or paper claims as needed. Follow up on calls or emails from Patient Financial Specialists, concerning patients requesting advanced assistance with their accounts.
• Inform management and relevant organizational stakeholders of correspondence and communication problems with service locations.

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