Medical Accounts Receivable Specialist

General Statement of Duties

Responsible for managing and resolving outstanding accounts, receivable balances, ensuring timely and accurate billing, and following up with insurance companies and patients.

Essential Functions

• Perform account follow up activities on accounts receivable.
• Ensure accurate and timely billing of all outstanding accounts.
• Communicate with insurance companies to resolve denied or underpaid claims.
• Maintain detailed records of billing activities and account statuses.
• Collaborate with other departments to ensure smooth revenue cycle operations.

Education

• High School Diploma / GED Certification

Experience

• Minimum of five years’ work experience in medical billing and accounts receivable

Knowledge

• Strong understanding of medical billing and coding systems
• Knowledge of Medicare, Medicaid, and Commercial insurance
• Knowledge of NextGen Office is preferred
• Knowledge of Pain Management and Orthopedic Spine Surgery is preferred
• Strong office and computer skills, experience with paperless workflows
• Work independently while maintaining a positive attitude

Skills

• Skilled communicator and ability to work effectively in resolving problems
• Solid organizational skills
• Exceptional attention to detail

Abilities

• Ability to interact with management, physicians, and teammates at all levels effectively
• Ability to communicate with teammates and management both in oral and written form
• Ability to meet deadlines in a fast-paced, quickly changing environment
• Ability to act as gatekeeper and elevate relevant information to executives as needed
• Ability to treat confidential information with appropriate discretion

Environmental Working Conditions

• Normal office environment

Physical / Mental Demands

• Good visual acuity, accurate color vision
• Requires sitting and standing associated with a normal office environment

Organizational Requirements

This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve.