ACCOUNTING 1

Job Description:
Medical Billing Account Specialist

Job Summary: Pre-AR responsibilities are to ensure that the patient claim is reviewed for possible reimbursement issues and billed out appropriately. The AR responsibilities are to analyze and research claims to identify appropriate resolution.

Depending on office needs, employees may be trained on and expected to perform job responsibilities in either category listed below.

Qualifications:

1. One to two years of office or medical billing experience with focus on Medicare and third party collections, billing, and payment arrangements.

2. Applicant must have high-quality customer service skills, flexibility and ability to function in a high volume, fast-paced environment.

3. Effective verbal and written communication and human relation skills required.

4. Intermediate Excel and word processing skills.

PRE-AR Essential Functions:

1. Resolves various billing edits within established timelines 40%

2. Identifies trends and issues, verbally communicates the issues and propose solutions to the supervisor in writing 40%

3. Follow-up (phone and e-mail) with departments regarding claim submission through our practice management system. 20%

4. Overtime may be required.

5. Other duties as assigned.

AR Essential Functions:

1. Resolves various billing edits and denials within established timelines 35%

2. Identifies trends and issues, verbally communicates the issues and propose solutions to the supervisor in writing 20%

3. Follow-up (phone, e-mail and regular mail) with insurance companies/patients regarding claim/payment status through our practice management system.- 20%

4. Composes/writes appeal letters using the established insurance guidelines to resolve collection barriers. 5%

5. Responds to written and email correspondence within established timelines 10%

6. Prepares a written summary of departmental issues and concerns for supervisor 5%

7. Answers phone calls and assists customers in-person to resolve issues by established timelines 5%

8. Overtime may be required.

9. Other duties as assigned.

We are an equal employment opportunity employer. You can view all of our jobs online at http://www.appleone.com/?sc=11id=665878

Job Experience:
WORD and EXCEL and PEOPLE SOFT