Medical A / R Specialist

Kforce Finance and Accounting
Published
February 21, 2021
Location
Indianapolis, IN
Category
Job Type

Description

RESPONSIBILITIES:

Kforce has a client seeking a Medical A / R Specialist in Indianapolis, IN. The successful candidate must be a goal oriented individual who consistently follow up on unpaid claims utilizing monthly aging reports and filing appeals when appropriate to obtain maximum reimbursement.

Essential Job Responsibilities:

  • Analyze aging for assigned operations and follow up on all outstanding accounts
  • Provide proper coding and comments for all outstanding balances
  • Provide any additional research for accounts designated on the critical accounts list, code and comment prior to monthly Critical Account call
  • Rebill claims for any outstanding AR that is collectible
  • Provide detail comment in aging with payment date
  • Field questions throughout the month regarding revenue and aging issues
  • Process revenue adjustments throughout the month for assigned Operations
  • Balance, review and gain approvals for revenue adjustments
  • Process revenue for month end close
  • Upload or key revenue for operations, grants, etc.
  • Complete revenue balancing and reporting
  • Maintain open communication with Billing Specialist, Cash Application Analyst and Operations
  • Send cash transfer & check requests to the cash team
  • Conduct monthly calls with business managers at the operations
  • Prepare and document all allowances and/or revenue adjustments for future month to assist in forecasting. according to policy and within the designated timeframe
  • Timely follow up on insurance claim denials, exceptions or exclusions
  • Reading and interpreting insurance explanation of benefits
  • Respond to inquiries from insurance companies, patients and providers
  • Regularly meet with Business Office Manager in Operations to discuss and resolve reimbursement issues or billing obstacles
  • Regularly attend monthly staff meetings and continuing educational sessions as requested
  • Perform additional duties as requested by Supervisor or Management team
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