AR Resolution Associate

Job Description

REQUIREMENTS

• High School Diploma
• Must demonstrate basic computer knowledge and demonstrate proficiency in Microsoft Excel.
• Excellent Verbal skills.
• Problem solving skills, the ability to look at account and determine a plan of action for collection.
• Critical thinking skills, the ability to comprehend tools provided for securing payment, and apply them to differing accounts to result in payment.
• Adaptability to changing procedures and growing environment
• Ability to toggle between multiple computer systems and sources of information,
• Ability to multi-task, be detail oriented, and provide excellent customer service skills and independent worker with a problem-solving mindset
• 1-3 years of relevant experience in medical collections or professional billing preferred
• Knowledge of claims review and analysis
• Working knowledge of revenue cycle
• Working knowledge of medical terminology and/or insurance claim terminology
• Experience working in Imagine billing system preferred

RESPONSIBILITIES

• Examines unpaid and denied claims to determine reason for discrepancies.
• Communicates directly with payers to follow up on outstanding claims, file appeals and ensure timely reimbursement.
• Ability to identify with specific reasons for denials and cause of payment delay.
• Works with management to identify, trend, and address root causes of issues in the A/R.
• Maintains a thorough understanding of federal and state regulations, as well as payer specific requirements and takes appropriate action accordingly.
• Documents activity accurately including contact names, addresses, phone numbers, and other pertinent information.
• Demonstrates initiative and resourcefulness by making recommendations and communicating trends and issues to management.
• Needs to be a strong problem solver and critical thinker to resolve accounts. Must meet productivity and quality standards.
• Performs other duties as assigned.

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