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KANKAKEE, Illinois
Source: Riverside Healthcare careers · View original posting
From Riverside Healthcare's posting. “We” and “our” refer to the employer.
Overview
The responsibilities of an Accounts Receivable Specialist is to pursue reimbursement of services rendered and achieve accounts receivable resolution. specific tasks include resolving insurance carrier denials, appealing claims, contacting carriers on open accounts and responding to insurance carrier correspondence and/or inquiries.
Essential Duties
Consistently meet or exceed current productivity and quality standards in a timely resolution of all claim edits, reporting of candidates for bill, outbound complaint claim submission, clinical documentation requirements and any other communication required (verbal or written) regarding claims ensuring timely filing of claims and clean, complete and accurate claims
Timely follow-up on denials and appeals, including root cause analysis to reduce/prevent future denials while working to overturn denials for payment resolution.
Compliant follow-up correspondence to third party payers regarding outstanding accounts receivables (i.e., Statements, letters, emails, faxes, portal mail, etc.).
Understanding of payer types (i.e., Managed Care, Commercial, Medicare, Medicaid, Replacement plans, Workers' Compensation, Corporate Accounts, Research, and Specialty AR Accounts).
Understanding of payer Medical Reimbursement policies.
Update registration information, post denial codes and adjustments in practice management systems.
Recommend accounts for contractual or administrative write-off and provide appropriate justification and documentation.
Practice HIPAA privacy standards and ensure compliance with patient health information privacy practices.
Identify opportunities for customer, system and process improvements and submit to management.
Follow the Riverside Healthcare general policies and procedures, the department policies and procedures and any emergency preparedness procedures.
Assist with special projects and other duties as assigned, as necessary.
Riverside Healthcare offers a comprehensive suite of Total Rewards: benefits and nationally rated employee well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more so your journey at and away from work is remarkable. Our Total Rewards package includes:
Compensation
Pay Range
USD $24.36 - USD $30.09 /Hr
Riverside Healthcare offers a comprehensive suite of Total Rewards: benefits and nationally rated employee well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more so your journey at and away from work is remarkable. Our Total Rewards package includes:
Compensation
LAYIQ is an independent job-discovery service. This listing does not imply a partnership with or endorsement by the employer. Review the original posting for current details and availability.
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