Accounts Receivable Specialist
Company: Steward Health Care
Location: Franklin
Posted on: May 22, 2023
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Job Description:
About Steward Health CareNearly a decade ago, Steward Health
Care System emerged as a different kind of health care company
designed to usher in a new era of wellness. One that provides our
patients better, more proactive care at a sustainable cost, our
providers unrivaled coordination of care, and our communities
greater prosperity and stability.As the country's largest
physician-led, tax paying, integrated health care system, our
doctors can be certain that we share their interests and those of
their patients. Together we are on a mission to revolutionize the
way health care is delivered - creating healthier lives, thriving
communities and a better world.Steward is among the nation's
largest and most successful accountable care organizations (ACO),
with more than 5,500 providers and 43,000 health care professionals
who care for 12.3 million patients a year through a closely
integrated network of hospitals, multispecialty medical groups,
urgent care centers, skilled nursing facilities and behavioral
health centers.Based in Dallas, Steward currently operates 39
hospitals across Arizona, Arkansas, Florida, Louisiana,
Massachusetts, Ohio, Pennsylvania, Texas, and Utah.For more
information, visit .POSITION SUMMARY:Under the direction of the
Supervisor, Accounts Receivable, the Accounts Receivable Specialist
is responsible for resolution of patient account balances
associated with insurance denials, answer incoming insurance and
practice calls with the ability to explain charges, services and
insurance billing questions. Work with practices and payers to
resolve claim denials and comply with insurance and all relevant
procedures, guidelines, and policies.KEY RESPONSIBILITIES:---
Responsible for various aspects of medical billing: claim creation,
claim submission, payment posting for insurance, and patient
balances. These denials and appeals are billed in the AthenaNet
system electronically.--- Obtains supporting documentation; i.e.,
medical records, EOBs, Remits, Authorizations, referrals, etc.,
through our email applications, scanning system, Medicare
remittance system, and Meditech (hospital billing system).---
Reviews, interprets and applies contractual terms and identifies
and/or applies contractual and administrative adjustments.---
Monitor insurance denials by running reports and contacting
insurance companies to resolve and recover denied claims.---
Monitors aging reports for timely follow-up on unpaid claims.---
Performs retroactive review of registration data to aid in the
assurance of clean claim submittal.--- Accurately documents claim
actions taken within patient account/claims.--- Serves as a
resource for problem solving issues related to registration,
demographic, and insurance errors.--- Works payer correspondence
including support tickets, emails, and phone messages from internal
and external contacts.--- Works collaboratively with Coding,
Provider Enrollment, and Cash Posting team as well as coworkers,
Team Leads, Managers, and practice staff to resolve claim and
account issues.--- Assists Patient Accounts Team as needed with
incoming and outgoing patient calls to resolve and collect on a
patient statement.--- Adheres to the HIPAA guidelines regarding
confidentiality relating to the release of financial and medical
information.--- Additional duties as assigned by Manager.REQUIRED
KNOWLEDGE & SKILLS:--- Strong knowledge on third party payers
guidelines and procedures required.--- Experience and/or knowledge
of insurance denials process.--- Health care claims processing and
follow-up background.--- Billing experience and insurance knowledge
(eligibility, registration, etc.)--- Must have knowledge of ICD-10
and CPT-4 coding.--- Prior experience with AthenaNet billing system
is strongly preferred.--- Customer / Patient Account Services
Skills.--- Drives results while balancing multiple priorities and
tasks.--- Attention to detail.--- Strong verbal and written
communication skills.--- Possess strong analytical skills and
computer skills including Outlook, Excel, and Word.--- Computer
skills are required.EDUCATION/EXPERIENCE/LICENSURE:I. Education:
Associates Degree in Business, Accounting or Finance preferred.II.
Experience: 1-2 years of related experience required.III.
Certification: Certified Biller preferred.Location: Steward Medical
Group 1144.73004 TexasLouisiana Accounts Receivable MCSETSchedule:
Full Time, Day Shift, M-F
Keywords: Steward Health Care, Franklin , Accounts Receivable Specialist, Other , Franklin, Tennessee
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