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Flagship Specialty Partners · 4 days ago

Accounts Receivable Specialist

Charlotte, NC, US

Full-time

Onsite

Entry Level

2+ years exp

Flagship Specialty Partners is a dynamic oral surgery practice seeking an Accounts Receivable Specialist to manage the claims process between Insurance Companies and Patients. The role involves resolving claims, documenting activities, and ensuring timely payments for services rendered.

Health CareMedicalPersonal Health

Responsibilities

Resolves claims submitted to Insurance Companies utilizing Insurance Company portals/websites as well as Insurance Company contact/call centers to capture the status on claims and collects payments for services provided

Researches denied claims to determine next steps in claim resolution

Drafts appeal letters and submits additional information needed for Insurance Companies to process claims for payment

Tracks and communicate payment and denial trends

Documents claim resolution activities in the practice management system, detailing the movement towards resolution

Ensures all claims reviewed/processed are in correct account category in the practice management system

Reports on status of assigned accounts to Revenue Cycle Supervisor weekly/upon request

Completes ad hoc claim work lists assigned by Revenue Cycle Leadership

Communicates effectively with co-workers, insurance companies, Practices, Providers, and Patients

Maintains and promotes professional competence through continuing education and other learning experiences

Adheres to HIPAA Privacy and Security policies and procedures while performing job duties and responsibilities

Actively participates in Revenue Cycle Team meetings, voicing successes, barriers, and process improvement opportunities

Performs other duties as assigned