Job Description
Role Description
Accounts Receivable Specialist follows up on outstanding balances with various insurance companies and/or patients with outstanding balances.
- Upon completion of training, this position will be eligible to work from home coming into the office as needed.
- Must live in the state of Ohio in order to work from home.
Schedule
- Monday - Friday, 8:00am to 4:30pm, eight hour shifts
- No evenings, weekends or holidays!
- Work/life balance schedules!
Benefits
- Full-time employees are eligible for health, dental and vision benefits
- Company holidays and a flexible holiday!
- Generous Paid Time Off (PTO) Package
- Additional accrual increase after 1 year of service with Dayton Physicians!
- 401K
- Scrub Allotment
- Yearly Bonus Program
DPN Core Value Expectations
- C
OMPASSION: the patient is at the center of all we do
- A
CCOUNTABILITY: we hold ourselves accountable for our actions
- R
ESPECT: we show respect for others
- E
XCELLENCE with Innovation: we strive for excellence in all we do
- S
ERVICE through Collaboration: we provide service to our patients, team members and community.
- Smile, make eye contact and greet with energy!
- Restate what you are hearing. Listen patiently and compassionately to complaints.
- Give full attention. Turn away from the computer screen and face the person you are conversing with.
- Explain any potential delays in service and provide frequent updates.
- Empathize (feel empathy for someone)
Essential Duties and Responsibilities
- Reviews all outstanding claims filed to designated payers and/or patient accounts for which payment or denial has not been received within 28 days of billing.
- Utilizes reporting capabilities of practice management system to generate reports and data used in working claims in the various aging buckets.
- Utilizes the capabilities of practice management system to correct and/or appeal as necessary.
- Utilizes the designated payer websites for effective follow-up and claim rebills.
- Utilizes the designated payer provider telephone centers for assistance in claim follow-up and collections.
- Attend webinars as well as various teaching seminars sponsored by designated payers.
- Receives from payment posting all zero pay and denied claims for research, correction and rebill, write-off, or transfer to patient responsibility.
- Contacts patients with regard to any unpaid claims; maintains accurate documentation within the practice management system of actions taken to resolve outstanding claims.
- Maintains compliance with FDCPA at all times.
- Follow all health care privacy and safety rules and adheres to Dayton Physicians Core Values.
- Other duties as assigned.
Required Education and/or Experience
- High School Diploma or GED.
- At least two (2) years of previous experience working in a Medical Billing Office; 3-5 years medical billing experience is preferred.
- Excellent oral and written communication skills.
- Strong working knowledge of CPT, HCPCS, ICD-10 coding, Microsoft Office, including Word, Excel and Outlook.
- Knowledge of claims processing in a managed care environment, commercial payer environment along with government payers.
- Knowledge of the Fair Debt Collections Practice Act (FDCPA) and other legal policies regarding collecting debt from patients.
- Experience with a Medical Practice Management system is preferred.
General Skill Requirements
- Excellent oral and written communication.
- Working knowledge of Microsoft Office, including Word, Excel and Outlook.
- Experience working with a Practice Management system.
- Attendance and punctuality are essential requirements of this position to provide excellent customer service to both our internal and external stakeholders.
Job Tags
Full time, Live in, Work at office, Work from home, Monday to Friday, Flexible hours, Shift work, Weekend work, Afternoon shift