Steele Memorial Medical Center · 10 hours ago
AR Specialist
Salmon, ID
Full-time
Onsite
New Grad, Entry Level
0+ years expSteele Memorial Medical Center is a rural healthcare facility dedicated to serving a close-knit community. They are seeking an AR Specialist who will be responsible for billing insurance companies, pursuing collections, and managing claims to ensure timely payments.
Health CareHospitalPrimary and Urgent CareWellness
Responsibilities
Bills insurance companies for Medicare, Medicaid, Blue Cross/Regence and Commercial insurances
Pursue collection of all claims till payment is made by insurance companies
Performs other work associated with the billing process
Responsible for timely billing functions for all insurances including electronic claims filing, secondary filing and corrected claims
Responsible for denial tracking and reporting
Works follow-up WQ’s daily, does any re-billing, work the mail, and work WQ’s for denials and sends secondary/tertiary insurance bills
Maintains good working relationships with insurance carriers
Returns phone messages and communications via email or fax promptly and efficiently
Works all credit balance accounts through the WQ for assigned alphabet portion and processes refunds due insurance companies and submits them for approval
Works all aging accounts through the WQs for assigned alphabet portion
Secures needed medical documentation required or requested by insurances
Processes rejections/denials by both making accounts private pay and referring to outsourcing company or correct any billing error and resubmit claims to appropriate insurance carriers
Prepares and submits hospital and hospital based claims to insurance carriers either electronically or by paper copy for Medicare, Medicaid, Blue Cross/Regence and Commercial insurances
Follows-up with insurance carriers on unpaid claims till claims are paid or only self-pay balance remains
Works with physician or medical record staff to ensure that correct diagnosis/procedures are reported to insurance carriers
Monitors claims for missing information, authorization/control numbers
Maintain confidentiality of all information
Complete work within authorized time to assure compliance with departmental standards
Keep updated on all billing requirements and changes for all insurance types
Responsible for pursuing information regarding third party liability insurance and filing all claims
Follow up on accounts until paid in full for Primary and Secondary payer’s responsibility is satisfied
Qualification
Required
One year certificate from college or technical school; or three to six months related experience and/or training; or equivalent combination of education and experience
Benefits
Access certain services at our facility free of charge
Participate in our wellness initiatives to earn significant health deduction savings – potentially up to $1,100 annually
Company
Steele Memorial Medical Center
Steele Memorial Medical Center offers primary care, medical imaging, specialty care, surgery, rehabilitation and women's health services.
51-200 employees
Funding
Current Stage
Growth StageLeadership Team
Preston Becker
Chief Executive Officer
Ryan Larson, CPA, CFE
Chief Financial Officer
Company data provided by crunchbase