AR Specialist

Job description

SUMMARY OF JOB DUTIES: The person handling this position is responsible for correcting, completing, and processing and collecting payment for claims of all payer codes. ESSENTIAL JOB FUNCTIONS: - Resolving claim denials and issues with claim payment in a timely manner. - Follow-up with insurance companies regarding unpaid claims and denials. - Review claim data for completeness and accuracy. This includes updating account information, reviewing claim history and EOBs, validating diagnosis, CPT and ICD codes, and transferring charges to the correct carrier or agency. - Correct and refile claims - Make adjustments to claims and patient accounts based on adjustment policies. - Effectively communicate with providers on claim documentation for charges submitted. - Ensuring payer portal accounts are accessible for claim research. - Work with office staff and revenue cycle manager to investigate and help resolve coding and billing issues. - Collect patient and insurance balances in a timely manner. - Answer billing phone calls and providing exceptional customer service to patients with billing related questions when needed. - Submit initial electronic claims when necessary - Cross train i...