Accounts Receivable Specialist

Advanced Medical Solutions

Accounts Receivable Specialist

Lenexa, KS
Paid
  • Responsibilities

    Advanced Medical Solutions is seeking a full-time professional to join our team as an Accounts Receivable Specialist. Advanced Medical Solutions is a leading provider of quality durable medical products (DME).

    JOB DESCRIPTION:

    Responsible for follow-up of accounts receivable including analyzing, researching and resolving unpaid claim, while providing excellent customer service. Individual must prioritize workflow and ensure Advanced Medical Solutions receives accurate and timely reimbursement.

    RESPONSIBILITIES:

    • Review unpaid claims and research reasons for delay
    • Initiate collection follow-up of unpaid or denied claims with the appropriate payer
    • Research appeal and resolve claim rejections, underpayments and denials with payers
    • Process appeals by gathering information and resubmitting claims
    • Communicate payment or denial trending that impact revenue to leadership
    • Develop and maintain positive working relationships with team members and payer representatives
    • Contact insurance companies to work out any discrepancies and get the claims paid
    • Process any adjustments as needed
    • Obtains authorization from Work Comp and Commercial Insurance Carriers (insurance verification)
    • Prepare and submit claims to insurance carriers on a CMS 1500 form
    • Post insurance carrier’s remittance advice/explanation of benefits
    • Processes Medical Records workflow
    • Faxes/Mails out Physician orders for signature
    • Comply with requests for copies of patients’ medical records from patients and other persons such as physician’s, attorneys, and insurance companies following departmental policies to safeguard patient confidentiality
    • Demonstrates knowledge of, and supports, mission, vision, standards, policies and procedures, operating instructions.
    • Performs other duties as assigned.

    REQUIREMENTS

    • High school diploma or equivalent required
    • 3+ years' experience with account follow up and authorizations, preferably in a healthcare environment
    • Excellent verbal, written, and social skills
    • Ability to work overtime if/when needed
    • Strong knowledge of explanation of benefits (EOB's)
    • Coursework in insurance billing (i.e. Medicare, Medicaid, private insurance companies), data processing, and medical terminology or equivalent experience necessary.
    • Bilingual (preferred)

    JOB PERKS

    • Medical, Dental, and Vision insurance offered
    • 401(K)