Accounts Receivable Specialist II
Description: The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. Processes claims: investigates insurance claims; properly resolves by follow-up & disposition. Verifies patient eligibility with secondary insurance company when necessary. Bills supplemental insurances including all Medicaid states on paper and online. Mails all paper claims. Manages billing queue as assigned in the appropriate system. Investigates and updates the system with all information received from secondary insurance companies. Ensures that all information given by representatives is accurate by cross referencing with the patient's account, followed by using honest judgement in any changes that may need to be made. Processes denials & rejections for re-submission (billing) in accordance with company policy, regulations, or third party policy. Updates patient files for insurance information, Medicare status, and other changes as necessary or required. Keeps email inbox requests up to date; checks for new messages on an hourly basis. Complies with HIPAA rules, appropriately safeguarding PHI or other private & confidential information. Maintains accurate and detailed notes in the company system. Adapts quickly to frequent process changes and improvements. Is reliable, engaged, and provides feedback to improve processes and policies. Attends all department, team, and weekly company meetings as required. Appropriately routes incoming calls when necessary. Meets company quality standards. Embraces and exemplifies ADS core values: o We put our people first.o We serve our members with passion o We take ownershipo We pursue excellenceo We never stop growing Requirements: High School diploma or equivalent 1 year experience with insurance billing and processing claims 1 year experience with Medicare claims, and Medicare and private insurance verification Knowledge of insurance portals; familiarity with a variety of medical and/or insurance terms or practices Knowledge of, or ability to learn all areas of collections specialization Proficiency in basic math and business calculations Working knowledge of computer/data entry with the ability to learn new systems Basic level of MS Office proficiency Benefits: Health, Dental & Vision options FSA and HSA plan with Employer Contribution Employer paid EAP 401k with 4% Company Match Discretionary Profit-Sharing Plan Paid Time Off (PTO) Including 7 Paid Holidays and a Birthday Holiday On-Site Gym In-house Training Programs A fun culture in a fast-growing organization! Apply Job!