Revenue Cycle Accounts Receivables Specialist jobs in United States
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U.S. Dermatology Partners · 5 hours ago

Revenue Cycle Accounts Receivables Specialist

U.S. Dermatology Partners is focused on providing quality dermatological services, and they are seeking a Revenue Cycle Accounts Receivables Specialist. This role is responsible for managing accounts receivables and general medical billing, maximizing collections, and serving as a liaison between various stakeholders.

Health CareHospitalMedicalWellness

Responsibilities

Follows-up on unpaid insurance claims after denial, to obtain settlement of claim
Keys data into computer to maintain billing records and prepare insurance form with data such as names of insurance company and policy holder, policy number, and physician diagnosis
Contacts insurance company to verify patient coverage and obtain information concerning extent of benefits
Generates appropriate paper work, including insurance claim forms (original and re-filed) and collection letters, mails monthly statements to patients
Reviews all insurance claim forms for accuracy and makes appropriate corrections for refiling
Reviews all insurance payments (Explanation of Benefits – EOB’s), including Medicare and Medicaid payments for accuracy in account information and demographics
Determines adjustments of claims paid at the out-of-network rate to in-network rates, and processes write-offs on these adjustments
Reposts payments, including insurance and patient payments to appropriate accounts as necessary
Answers patients' questions regarding statements and insurance coverage, answers telephone in a prompt, courteous, and helpful manner, screening calls, directing calls, providing information, answering questions, and taking accurate messages
Responds to all inquiries received from patients and payors either by telephone or written request
Establishes and maintains contacts with payor accounts’ representatives
Reviews accounts receivable activities and calls on outstanding balances or claims
Processes patient refunds as needed
Handles transactions necessary on discharged patients
Completes and files all necessary paperwork for services rendered, i.e., charge tickets, patient forms, medical records, etc
Adheres to all safety policies and procedures in performing job duties and responsibilities while supporting a culture of high quality and great customer service
Performs other duties that may be necessary or in the best interest of the organization

Qualification

Accounts Receivables ManagementMedical BillingInsurance VerificationData EntryCustomer Service

Required

Responsible for accounts receivables management and general medical billing for insurance companies (payors) and patients focused primarily on maximizing collections
Serves as a liaison between practices, clinics, the business office, payors, and patients
Establishes and maintains contacts with payor accounts' representatives
Initiates telephone contact and answers all calls pertaining to accounts
Maintains accurate information regarding patient accounts receivables status
Maintains strict confidentiality for all patient accounts
Follows approved processes, policies and procedures in executing job duties
Follows-up on unpaid insurance claims after denial, to obtain settlement of claim
Keys data into computer to maintain billing records and prepare insurance form with data such as names of insurance company and policy holder, policy number, and physician diagnosis
Contacts insurance company to verify patient coverage and obtain information concerning extent of benefits
Generates appropriate paper work, including insurance claim forms (original and re-filed) and collection letters, mails monthly statements to patients
Reviews all insurance claim forms for accuracy and makes appropriate corrections for refiling
Reviews all insurance payments (Explanation of Benefits – EOB's), including Medicare and Medicaid payments for accuracy in account information and demographics
Determines adjustments of claims paid at the out-of-network rate to in-network rates, and processes write-offs on these adjustments
Reposts payments, including insurance and patient payments to appropriate accounts as necessary
Answers patients' questions regarding statements and insurance coverage, answers telephone in a prompt, courteous, and helpful manner, screening calls, directing calls, providing information, answering questions, and taking accurate messages
Responds to all inquiries received from patients and payors either by telephone or written request
Reviews accounts receivable activities and calls on outstanding balances or claims
Processes patient refunds as needed
Handles transactions necessary on discharged patients
Completes and files all necessary paperwork for services rendered, i.e., charge tickets, patient forms, medical records, etc
Adheres to all safety policies and procedures in performing job duties and responsibilities while supporting a culture of high quality and great customer service
Performs other duties that may be necessary or in the best interest of the organization

Company

U.S. Dermatology Partners

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U.S.Dermatological Partners' integrated care network gives dermatology clinics access to general medical, surgical, and skin treatments.

Funding

Current Stage
Late Stage
Total Funding
unknown
2016-05-19Acquired

Leadership Team

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Gurpal (Paul) Singh
Chief Executive Officer
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Brian Bernholtz
Chief Financial Officer
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Company data provided by crunchbase