Medical Accounts Receivable Specialist 3

Job description

Medical Accounts Receivable Specialist 3 Under minimal supervision and with a high level of knowledge, skills and experience, the Medical Accounts Receivable Specialist 3 performs a variety and full range functions related to Biotheranostics customer service, billing, appeals and accounts receivable resolution. Functions include but are not limited to billing, Third Party Payer follow-up, trend and A/R analysis, account inquiry resolution and appeals. In addition to specific duties, position may assist in other areas as needed to minimize risks related to achieving financial performance. Primary Responsibilities: appeal outcomes (i.e. next steps, improved outcomes) Qualifications: professional and supportive manner - Responsible for their own appeal creations, reviewing and submitting first, second and third level appeals to insurance companies - Reviewing/submitting AR Specialist 2, level 2 and level 3 appeals - Conduct root cause analysis and process improvement - Responsible for filing all level 3 appeals to include: external appeals (DOI complaints & CMS complaints), member appeals - Works special projects as assigned - May present findings to management - Uses independent judg...