AR Specialist

Company: Summit Spine and Joint Centers
Location: Lawrenceville
Posted on: May 26, 2023

Job Description:

Summit Spine and Joint Centers is a rapidly expanding Pain Management Group looking to add an experienced Accounts Receivable Specialist to our team. With nine ambulatory surgery centers and twenty clinic locations across Metro Atlanta, Summit Spine is winning the race to become the largest comprehensive spine and joint care provider in the state of Georgia We are looking for a motivated and hard-working AR Specialist who can join our growing team of professionals.Job Duties:Manages outstanding accounts to include following up with insurance carriers for overpayments, underpayments, filing corrected claims, appealing claims, and following up on all denials to ensure processing / reprocessing and timely paymentsReview AR aging to ensure timely collection of paymentsReview and initiate payor and patient refundsAppropriately documents issues, sources, and actions taken on each accountIdentify, document, and report payer denial trends to billing manager for escalated follow-upCreates reports regarding the status of patient accounts as requestedAddress inquiries from insurance companies, patients, and providersEnsure claim information is complete and accurateFollows HIPAA guidelines in handling patient informationQualifications:Minimum of 3 years' experience with accounts receivable or revenue cycle in a medical settingExperience with Medicare, Medicaid, Commercial insurance plans, Workers' comp, and Personal Injury casesKnowledge of claims submission of office visits, outpatient procedures, urinary drug screens, DME, MRI, and Chronic Care ManagementKnowledge of medical billing rules, such as coordination of benefits, modifiers, and understanding of EOBs and ANSI code denials.Excellent knowledge of CPT coding, ICD.10 coding and medical pre-certification protocols requiredExcellent computer skills and familiarity with Microsoft OfficeComfortable working in a growing, dynamic organization and able to navigate change.Self-motivated with ability to multi-task, prioritize work in a fast-paced, team environmentBachelor's degree preferredExperience using eClinicalWorks preferredExperience with Pain Management preferredThe position is full time with competitive salary, PTO, health benefits and 401k match.

Keywords: Summit Spine and Joint Centers, Roswell , AR Specialist, Other , Lawrenceville, Georgia