Accounts Receivable Clerk (Temp to Perm) - Medical in Woodbridge Township, NJ at Vaco

Date Posted: 5/4/2021

Job Snapshot

Job Description

Title: Accounts Receivable Specialist
Department: Billing
Reports To: Department Supervisor
FLSA Status: Non-exempt


Summary Coordinates all patient and insurance billings for the medical facility by performing the following duties.

Essential Duties and Responsibilities include the following. Other duties may be assigned as determined

* Follow up on unpaid claims within standard billing cycle timeframe
* Check each insurance payment for accuracy and compliance with contract discount
* Call insurance companies regarding any discrepancy in payments if necessary
* Identify and bill secondary or tertiary insurances
* Research and appeal denied claims
* Answer all patient or insurance telephone inquiries pertaining to assigned accounts.
* Set up patient payment plans and work collection accounts
*Contacts patients regarding outstanding balances.
*Establishes payment plans to help patients manage payment of bills.
*Sends delinquent accounts to collection agencies.
*Processes insurance payments to patient accounts in computerized system.
*Creates and mails insurance claims and patient statements.
*Rebills insurance companies or other third parties to secure payment for patients.
*Verifies all entries made and makes corrections if necessary.
*Trains appropriate personnel on computerized billing system.
*Makes recommendations to management for write-offs.

Knowledge, Skills, and Abilities
* Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid
* Knowledge of HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
* Use of computer systems, software,
* Effective communication abilities for phone contacts with insurance payers to resolve issues
* Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members
* Able to work in a team environment
* Problem-solving skills to research and resolve discrepancies, denials, appeals, collections

Competencies

To perform the job successfully, an individual should demonstrate the following competencies :Analytical - Synthesizes complex or diverse information; Collects and researches data; Uses intuition and experience to complement data; Designs work flows and procedures.

Problem Solving - Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in group problem solving situations; Uses reason even when dealing with emotional topics.

Technical Skills - Assesses own strengths and weaknesses; Pursues training and development opportunities; Strives to continuously build knowledge and skills; Shares expertise with others.

Customer Service - Manages difficult or emotional patient situations; Responds promptly to patient needs; Solicits patient feedback to improve service ; Responds to requests for service and assistance; Meets commitments.

Interpersonal Skills - Focuses on solving conflict, not blaming; Maintains confidentiality; Listens to others without interrupting; Keeps emotions under control; Remains open to others' ideas and tries new things.

Oral Communication - Speaks clearly and persuasively in positive or negative situations; Listens and gets clarification; Responds well to questions; Demonstrates group presentation skills; Participates in meetings.

Written Communication - Writes clearly and informatively; Edits work for spelling and grammar; Varies writing style to meet needs; Presents numerical data effectively; Able to read and interpret written information.

Teamwork - Balances team and individual responsibilities; Exhibits objectivity and openness to others' views; Gives and welcomes feedback; Contributes to building a positive team spirit; Puts success of team above own interests; Able to build morale and grou