Accounts Receivable Specialist

Description

The Position

Lorenz Clinic is a multi-site outpatient psychology practice serving children, families, adults, and couples. The Accounts Receivable Specialist is responsible for ensuring all accounts are processed through insurance properly, and patient accounts are paid in a timely manner. Accounts Receivable Specialists should be familiar with ethical billing practices and are responsible for maintaining hundreds of patient accounts to ensure payment. The A/R Specialist reports directly to the Billing Manager.

Job Duties

• Check insurance benefits and eligibility for all new and existing patients, and communicate these benefits with the responsible clinician
• Process credit card payments for copays and other patient responsibility
• Work with patients with past due accounts to set up payment plans
• Investigate denied claims for successful processing & receipt of payment from insurance
• Work with the clinicians to obtain insurance authorizations
• Submit claims in a timely manner
• Complete and submit EAP billing forms and invoices with follow-up as needed
• Correspond with clients, insurers and others involved in the billing process via phone, email and patient portal
• Provide excellent customer service
• Work to reduce aging and average days’ receivables
• Respond to payer inquiries in a timely manner
• Review provider billing entries to ensure accuracy
• Attend trainings and meetings as scheduled
• Maintain up-to-date knowledge of ever-changing billing regulations
• Log insurance receipts and patient receipts to ensure they are accurately attributed to accounts
• Work with the billing supervisor to create more efficient workflows
• Other duties as assigned

Requirements

• At least 18 years of age
• High School Diploma or equivalent
• Prior billing experience
• Experience in claims processing along with rules and regulations relating to Medicare, Managed Care and third-party payers
• Knowledge of Medicare, Managed Care and Insurance reimbursement systems, including billing forms and requirements for various third-party payers
• Reliable transportation
• Basic math skills
• Outstanding communication skills via phone and email
• Ability to maintain a high level of professionalism at all times
• Proficiency in all Microsoft applications, especially Excel and Word
• Proficiency in all Google applications
• Proficiency in provider & payment portals, such as, but not limited to, Availity, PaySpan, Echo Payments, etc.
• High level of critical thinking skills, self-motivation, and integrity
• Extreme attention to detail and organization
• Positive, team-player attitude
• Stable and successful work or school history
• Ability to maintain interpersonal boundaries and protect client and clinic confidentiality
• Ability to sit for long periods of time
• Ability to work on a computer for long periods of time
• Willingness to learn and master new software
• Flexible and adaptable to change

Preferred Qualities

• Associate’s or Bachelor’s degree in Business, Finance, Medical Billing or Coding, Medical Administration, or similar field
• HIPAA experience or training
• Prior experience with managed care networks and EAPs, especially within the Mental Health field
• Prior collections experience is helpful
• Prior experience with Athenanet EHR system
• Prior experience billing psychological testing, CTSS codes, and/or E/M codes