Mid Atlantic Retina
  • Plymouth Meeting, PA, USA
  • Temporary

The Accounts Receivable Billing Specialist is responsible for billing and collecting from their assigned payor (Medicare, Medicaid, insurance companies, patients, etc.).  This position insures that all accounts are billed appropriately and meets all regulatory and compliance requirements. Working with all relevant departments, this position is responsible for maintaining and recommending improvements in policies and procedures, taking a best practice approach. This position is also responsible for assisting and reporting monthly reports.  This position is responsible for accuracy in regard to billing and keeps abreast of all regulatory bodies regarding compliance issues and changes in addition to keeping current with all medical policies as they pertain to our practice.

Essential Functions

  1. Function in a team-oriented environment, display strong investigative and organizing skills with a high attention to detail and follow through in order to maintain productivity while managing a high volume of work.
  2. Posts payments and handles rejections/denials and account reconciliation.  Aged receivables follow up.
  3. Work all AR Reports on a monthly basis to maintain established goals as set forth by the department.
  4. Responsible for the effective collection of all Billings and Accounts Receivable.  Post, reconcile and analyze receivables to accounts.
  5. Establish relationships with assigned payer regarding billing and collection.
  6. Work all Tasks, Rejections and Denials pertaining to assigned payor on a daily basis.
  7. Ensure correct processing of all accounts.
  8. Act as customer service representative in person or by telephone for any patient's questions about his/her account in addition to corresponding with Payers.
  9. Develop, recommend and implement enhancements to Billing/Accounts Receivable policies and procedures in accordance with company standards and regulatory compliance processes to help maximize third party reimbursement.
  10. Maintain up to date billing knowledge of insurance carriers to be a resource for patients and other front desk staff members.
  11. Ensure routine billing tasks follow prescribed procedures and protocol.

Competencies

  1. Problem Solving/Analysis - Creative problem solving within defined acceptable parameters.  Identifies and resolves problems in a timely fashion. 
  2. Project Management - Detail oriented to ensure proper procedures, protocol and processes are complied with consistently.  Ability to teach others to follow instructions, to educate about new processes and procedures and to monitor compliance.
  3. Technical Skills -  Microsoft Office
  4. Customer Service - Conflict resolution skills, responds promptly to customer needs.  Superior listening skills, professional demeanor and appropriate firmness.  Strong interpersonal skills to work effectively with patients, employees and physicians.  Ability to handle difficult patient interactions relative to sensitive billing issues.
  5. Ethical Conduct - Maintains confidentiality.
  6. Time Management - Maintains high volume productivity level for essential functions.
  7. Organizational Skills - Able to prioritize tasks based on urgency, maintain to-do list and organize tasks, knowing when to ask for assistance based on workload.

Supervisory Responsibility

This position has no direct supervisory responsibilities.

Work Environment

This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

While performing the duties of this job, the employee is regularly required to talk on a telephone, communicate verbally in front of groups, 1:1 and correspond using email.  The employee will also be required to engage in interactive communication with coworkers, typically hearing and reading / responding to their emails.

This is largely a sedentary role; however, some filing is required. This would require the ability to lift files, bend and reach open filing cabinets and bend or stand on a stool as necessary.

Position Type/Expected Hours of Work

This is a full-time/temporary position.  Occasional overtime may be required as job duties demand.

Travel

Travel is estimated to be less than 10% with advance notice for this position.

Education and Experience

  1. 3-5 years of medical billing in a physician office or third party billing company preferred.
  2. Strong knowledge of and experience in payment posting, rejections and denials, account reconciliation and following up on aged accounts.
  3. Experience working with insurances, private carriers, HMOs, Medicare and Medicaid.
  4. Knowledge of benefit investigation including obtaining eligibility information, authorizations and referrals.
  5. Experience with CPT, ICD10, Microsoft Office Suite
  6. Excellent customer service skills and attention to detail a must.

EEO Statement

MAR is a proud Equal Opportunity Employer.

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Mid Atlantic Retina
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