Medical Accounts Specialist
1 week ago
The role of the Medical Accounts Specialist plays a vital part in maintaining financial operations within an organization. This position is responsible for managing and monitoring incoming payments, ensuring accuracy in accounts receivable records.
This position requires a detail-oriented individual with strong analytical skills and a solid understanding of accounting principles. The specialist will work closely with internal teams and external clients to resolve any billing discrepancies and facilitate timely payments.
Key Responsibilities
- Manage accounts receivable, including claim follow-up, denial management, and collections using specialized software.
- Monitor aging reports and work queues to ensure timely and accurate resolution of outstanding balances.
- Investigate and resolve claim denials and underpayments, identifying root causes and trends for corrective action.
- Process insurance follow-up through specialized workflows, ensuring appropriate documentation and follow-through.
- Coordinate rebilling or appeals with payers directly as needed.
- Document all AR activities accurately and consistently in accordance with departmental standards and compliance guidelines.
- Work payer-specific work queues to meet productivity and performance benchmarks.
- Utilize reporting tools and dashboards to track performance metrics, identify bottlenecks, and support process improvement initiatives.
- Ensure compliance with payer guidelines, HIPAA regulations, and internal billing policies throughout AR processes.
- Collaborate with coding, billing, and patient access teams to resolve account discrepancies and ensure clean claim submission.
- Escalate unresolved issues appropriately, providing context and documentation as needed.
- Participate in regular audits and account reviews, helping to improve collection rates and reduce days in AR (DAR).
- Bachelor of Science in Accounting or related field required.
- 1 year of experience working in Medical Accounts Receivable preferred.
- Proficient in English language, both written and verbal.
- Payment Posting experience required.
- Experience in healthcare industry.
- Computer proficiency, including word processing, spreadsheet, database, and patient accounting system.
- Good communication and time management skills.
- Team player with knowledge of AR metrics.
This is an exciting opportunity to join a dynamic team and contribute to the success of our organization.
We offer a competitive compensation package and opportunities for growth and development.
If you are a motivated and detail-oriented individual with a passion for finance and healthcare, we encourage you to apply.
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