Accounts Receivable Specialist

Mô tả công việc

Aegis Sciences Corporation is looking for an Account Receivable Specialist to join our team on a full-time basis.  The Accounts Receivable Specialist ensures the timely resolution of accounts receivable for assigned carriers. Essential Duties & Responsibilities: Work aged receivables utilizing A/R reports and the collection module in Intergy Review and assess adjudicated claims for timely and proper payment of outstanding balances Research, correct, and resubmit or reprocess unpaid claims as necessary Enter zero payment batches daily, including denials, correspondence, etc. Submit adjustment requests daily as necessary Verify validity of account balance by researching, reviewing and ensuring accuracy of payment and adjustment posting Identify liability and guarantor hierarchy and transfer balances timely and appropriately Review and interpret Explanation of Benefits (EOB) for denials and underpayment of codes Research and resolve denials and underpayments with insurance carriers Verify all identified insurance carriers for eligibility and confirm carrier policy for referral and authorization requirements as needed for claims adjudication Submit carrier appeals and reconsideration requests in a timely manner Process insurance refund requests as necessary and according to policy and procedure Meet productivity goals/benchmarks as set and communicated by A/R leadership Serve as primary customer service representative for payer inquiries/calls and secondary for patient inquiries/calls Maintain confidentiality of patient information Work collaboratively with other Coding, Billing, Patient Access, and Cash Receipts Specialists as needed