AR Revenue Cycle Specialst II

We are seeking an AR Revenue Cycle Specialist II who will follow-up with insurance companies to collect outstanding accounts for which payment has not been received in response to the claim's submission process, either electronically or by paper. The Specialist will be assigned payer groups of outstanding patient accounts. Various methods of follow-up will be used. The specialist must have expertise in insurance follow-up processing and be knowledgeable in CPT and ICD-10-CM coding as well as have an understanding of the JHOC registration process and be able to recognize and resolve incorrect demographic and insurance registration. The Specialist must have an understanding of claims submission requirements for all payers to expedite payments as well as knowledge of appeals and rejections processing. This person must have excellent communication skills coupled with patience and fortitude.

Specific Duties/Responsibilities

• Identifies problem issues on outstanding patient accounts. Works to resolve issues so that invoice will be processed by payor or balance moved to patient responsibility.
• Identifies insurance issues of primary vs secondary insurance, coordination of benefits, Eligibility and any other issue causing non-payment of claims. Contacts the payer or Patient as appropriate for corrective action to resolve the issue and receive payment of Claims.
• Handles patient account inquiries and assists patients with filing or re-filing of claims including secondary insurance.
• Communicates with patients, physicians and insurance companies to resolve accounts. This includes resolving issues identified through incoming correspondence.
• Print and mail/fax claim forms and statements as requested by patients, insurance companies or other authorized third parties.
• Confirm credit balances and gather necessary documentation for processing refund.
• Prints medical notes from the EPIC system when needed for the processing of claims.
• Working knowledge of EPIC billing and registration systems.
• Participate in bi-weekly meetings and conference calls.
• Communicate trends and A/R issues to management.
• Assist with charge corrections and other minor coding issues.
• Maintain personal productivity goals.
• Stay abreast of insurance guidelines (attending webinars and providing updates from websites).

• High School Diploma or graduation equivalent.
• Two year's experience in a medical billing, insurance follow-up processing, or similar medical specialty environment.

Classified Title: AR Revenue Cycle Specialist II
Role/Level/Range: ATO 40/E/02/OD
Starting Salary Range: $16.20 - $28.80 HRLY ($40,000 targeted; Commensurate w/exp.)
Employee group: Full Time
Schedule: M-F 8:30a-5p
Exempt Status:Non-Exempt
Location:Remote
Department name: 10003158-SOM Rad Production Unit Billing
Personnel area: School of Medicine