A/R Specialist I

Job description

Description JOB PURPOSE: The AR Specialist I position is responsible to obtain medical eligibility information ensuring that the most updated insurance is entered into the practice management system, obtain authorizations, and assist patients with their account inquiries, routing and advancing calls as needed. JOB FUNCTIONS: - Research eligibility information with various insurance carriers. - Responsible for obtaining or validating referrals and authorizations for procedures and services, as required - Responsible for ensuring billed charges are allowable per payer policies. - Accurate verification of all insurance benefits, and entry of new or updated insurance information for all patient accounts - Responsible for outreach to patients or payers to validate incomplete insurance information - Assist with customer service calls - Retrieve supporting documentation and other data from all facilities for accurate and timely processing of claims - Manage the worklist assignment for eligibility holds within practice management system - Manage collection assignment worklists in the practice management system. - Participate in internal audit requests - Possess understanding of EOB nomencl...