Accounts Receivable Specialist - Healthpro Heritage : Job Details

HealthPro Heritage has a great Accounts Receivable Specialist Opportunity

Accounts Receivable Specialist are responsible for resolution of patient account balances associated with insurance denial, answer incoming insurance and practice calls as needed. AR Specialists will have the ability to explain charges, services and insurance billing questions. Accounts Receivable Specialist are also responsible for ensuring accuracy as well as verifying completed and precise medical record(s) for the interpretation of clinical documentation completed by the medical staff to correctly assign appropriate ICD10, CPT and/or HCPCS codes in conjunction with the coding/clinical teams.

Why Choose HealthPro Heritage?

• Purpose-Driven Work: Be part of a mission-driven organization dedicated to compassionate care and innovative therapy solutions.
• Growth Opportunities: Enjoy continuous learning and development opportunities tailored to support your professional growth.
• Collaborative Culture: Thrive in a supportive environment where teamwork, respect, and open communication are at the heart of everything we do.
• Commitment to Excellence: Join a team recognized for clinical expertise and commitment to delivering high-quality care and outcomes.
• Competitive Benefits Package: Enjoy competitive compensation along with a comprehensive benefits package designed with YOU in mind!

Join Us in Making a Difference

At HealthPro Heritage, we offer a fulfilling career where you can positively impact lives and achieve personal and professional growth. As a therapist-led, diverse organization, we provide clinical services across various settings, including nursing facilities, retirement communities, hospitals, home care, and pediatric schools and clinics. Join us to be part of a team that values your skills, listens to your input, and makes a meaningful difference in the community.

• Responsible for various aspects of medical billing: claim creation, claim submission, and patient balances. These denials and appeals are billed in the Net Health/Waystar system electronically.
• Obtains supporting documentation, i.e., medical records, EOBs, Remits, Authorizations, referrals, etc., through our email applications, scanning system, Medicare remittance system, and payer portal systems.
• Reviews, interprets, and applies contractual terms and identifies and/or applies contractual and administrative adjustments.
• Monitor insurance denials by running reports and contacting insurance companies to resolve and recover denied claims.
• Monitors aging reports for timely follow-up on unpaid claims.
• Performs retroactive review of registration data to aid in the assurance of clean claim submittal.
• Accurately documents claim actions taken within patient account/claims.
• Serves as a resource for problem solving issues related to registration, demographic, and insurance errors.
• Works payer correspondence including support tickets, emails, and phone messages from internal and external contacts.
• Works collaboratively with, Coding-Appeal & Denial Team, Credentialing/Provider Enrollment, and Cash Posting team as well as, Supervisors, Managers, and practice staff to resolve claim and account issues.
• Assists Patient Accounts Team as needed with incoming and outgoing patient calls to resolve and collect on a patient statement.
• Maintain department processes and controls according to Professional Coding Standards, CMS Standards, HIPAA, OIG, and the State guidelines as well as national payor coding guidelines as they pertain to professional coding and reimbursement.
• Communicate with Director in association with the compliance team to ensure accuracy on all documentation and encounters
• Complying with medical coding guidelines and HealthPro Heritage policies. Ensuring codes are accurately assigned and sequenced correctly in accordance with government and insurance regulations.
• Demonstrate understanding of National and Local Coverage Determinations as per MAC region.
• Ability to maintain the confidentiality of PHI as per HIPAA and HPH requirements.
• Exhibit sound knowledge of anatomy and physiology, medical terminology, patient care documentation terminology.
• Demonstrate knowledge of the Revenue Cycle and the impact denial decisions on revenue cycle.
• Reviewing and processing insurance denials, analyzing Explanation of Benefits (EOB)/ Electronic Remittance Advice (ERA) forms to ensure insurance companies have properly paid for charges. Identifying denial trends and forwarding to AR Management for review.
• Manage multiple work demands simultaneously to maintain relevant productivity and turnaround time standards for completing.
• Other duties as assigned.

• Computer literacy of medical information systems, records management software,
• Good computing knowledge in Microsoft Outlook, Word, Excel, PowerPoint etc.
• Excellent communication and customer service skills, both verbal and written.
• Understanding of third-party reimbursement rules and regulations. Medical Billing experience preferred.
• Outstanding organizational, detail oriented and time management skills.
• Ability to work independently as well as part of a team when necessary.
• Excellent typing and 10-key speed and accuracy.
• 2+ years of work experience as a Accounts Receivable/Denial specialist. Professional Physician (ProFee) coding experience, preferred.