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Insurance Accounts Receivable Specialist
- Posted: November 04, 2024
- Salary:US$18 - US$25 per hour
- Location:Phoenix
- Job type: Contract
- Discipline:Revenue Cycle
- Reference:230362_1730762103
- Work Location:On-site
Job description
As an Insurance A/R Specialist, you'll collect payments for an assigned segment of the insurance accounts receivable and performs insurance follow up duties in accordance with established federal and state regulations. You'll also appeal claim denials as necessary and appropriate.
Open to 3-4 of these openings to be greener individuals with eligibility, verification, or claims experience. The rest should be seasoned AR individuals
Responsibilities
- Follows-up with insurance companies and ensures claims are paid/processed
- Services each account in priority of importance and independently billing accounts with understanding of all applicable insurance and/or CMS regulations
- Resubmits insurance claims that have received no response or are not on file, in a timely manner according to each insurance's contracted filing limits
- Reviews and appeals unpaid and denied claims, includes analysis of coding that assures proper billing
- Makes changes to demographic information as necessary in order to produce a clean claim
- Researches and prepares insurance credits for refund approval
- Maintains an error rate in accordance with departmental policy
- Performs all other assigned duties
Metrics: Dollars collected and daily counts - minimum standards is 45 encounters per day. Tier 3 would need to be at 56 encounters per day. 90% or higher in accuracy and attendance.
3-5 Must Have Skills/Qualifications
- 2+ years strong Insurance A/R (not patient), reconsiderations and denials experience
- Knowledgeable with commercial and AZ government payers
- Active knowledge of CMS guidelines, contracted insurance guidelines and coding policies
- High School Diploma
Nice to Have Skills
- Ophthalmology experience
- Medical Billing & Coding certification
- NextGen experience
Soft Skill/Attribute Requirements
- Well-organized with attention to detail
- Ability to read and understand oral and written instructions
- Ability to establish and maintain effective working relationship with team members, clinic staff, payers and patients
Pay Range: $18-25/hour
Schedule:
- Monday-Friday, 6am-5pm - any 8 hour shift within this window is fine
- **For the first 2 weeks they should plan on 8am-5pm, but that is subject to change
- Benefits:
- Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances)
- Health Benefits / Dental / Vision (Medix Offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s).)
- 401k (eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1)
- Short Term Disability Insurance
- Term Life Insurance Plan
Medix is acting as an Employment Agency in relation to this vacancy.