Accounts Receivable Specialist II
Noblesville, IN - USA
Job Summary
Job Responsibilities
- Resolves higher dollar aged accounts receivable to determine why a claim has not be paid and takes necessary actions to get claim paid immediately.
- Promptly resolves denials by identifying the root cause of the issue and then taking any necessary actions to get denial overturned and paid promptly.
- Works with payers departments management and patient (if required) to obtain necessary information for claim resolution.
- Provides feedback to supervisor and ensures collecting the information of trends and responds to inquiries about trends.
- Performs any necessary account adjustments in accordance with department policies.
- Ensures assigned work queues are reviewed and resolved timely.
- Monitors assigned work queues and payers for identification of potential problems.
- Proactively escalates unresolved questions or issues. Shares information as necessary.
- Other duties as assigned.
Education Requirements
- High school diploma or GED
Experience Requirements
- Minimum: Two (2) years of experience working with insurance balances in a business office or similar role.
- Preferred: Three (3) years of insurance follow-up experience working in Epic EMR handling claims of moderate to high complexity
License/Certification Requirements
- Minimum: None
Required Experience:
IC
About Company
At Riverview Health, we believe all patients deserve our help, whether they're residents of Hamilton County or elsewhere. We believe in hiring quality physicians, investing in advanced medical technologies and maintaining an atmosphere of genuine caring and respect.