Medical A/R Collections Specialist

Responsible for all aspects of Medical A/R collections, claim status and denial management.

and Responsibilities include the following. Other duties may be assigned as needed to meet our department productivity standards. Completes follow up on outstanding medical A/R insurance claims with no response directly with payers Works various denials from insurances including coverage in question, medical necessity, re-bundled, incorrect coding, credentialing, etc.

Reviews electronic rejections Completes incoming correspondence from patients and or insurance Works with coders on any coding and billing issues to correct and or appeal errors in a timely manner Initiates refund/credit requests. Properly documents the patient account of all steps taken to resolve balance pending by payer or patient Escalate problems with electronic claims submissions and or bulk rejections to manager for assistance and guidance for resolution.

Bulk mails all manual claims to individual payers daily as needed Works daily, weekly and monthly aging reports as assigned