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Job description
Accounts Receivables Specialist - Billing DepartmentThe Accounts Receivable (AR) Specialist supports the financial operations of our high-volume group by managing insurance and patient receivables. This role focuses on timely claim follow-up, payment posting, and collections, ensuring the practice maintains a healthy cash flow. The ideal candidate will have strong knowledge of medical billing processes and hands-on experience using Intergy Practice Management and EPIC EHR systems.Essential Functions/Responsibilities:· Monitor, review, and follow up on outstanding insurance and patient account balances· Process and post insurance and patient payments accurately within Intergy Practice Management system· Utilize EPIC EHR to review patient charts and ensure proper documentation supports billing· Resolve denied or underpaid claims by conducting appeals, adjustments, and resubmissions· Prepare and submit written or electronic appeals with appropriate documentation and follow-up· Maintain thorough and up-to-date records of all appeals and communications with payers· Communicate with insurance carriers for claim status, eligibility, and payment discrepancies· Communicate with insurance carriers to resolve underpaid, denied, or delayed claims· Generate and analyze AR aging reports to identify priority accounts and escalate issues when necessary· Analyze denial codes and EOBs to determine root causes and implement corrective action· Collaborate with billing and coding teams to ensure accurate CPT/ICD10 coding and clean claim submission· Respond to patient inquiries regarding billing, balances, and payment options professionally and accurately· Reconcile payments with Explanation of Benefits (EOBs) and electronic remittance advice (ERA)Track outstanding accounts, review aging reports, and resolve billing discrepanciesCall and email customers to secure payments and arrange workable payment plansMatch incoming payments to invoices and create reports for management on the status of unpaid accountsAssist clients with disputes, hardship requests, and questions regarding their payments· Process credit card payments from patients who call the office, and provide receipts and confirmation as needed. Maintain detailed and accurate documentation of collection activities in patient accounts· Stay informed about payer policy updates, coding changes, and cardiology-specific billing requirements· Follow HIPAA guidelines to maintain patient confidentiality and privacyQualifications:· High school diploma or equivalent (required); Associate degree in Accounting, Healthcare Administration, or related field (preferred)· Minimum 2 years of AR or medical billing experience in a specialty or cardiology practice· Proficiency with Intergy Practice Management software (Greenway)· Experience using EPIC EHR for clinical and billing review· Solid understanding of insurance billing, denial management, and reimbursement procedures· Knowledge of Medicare, Medicaid, and commercial payer guidelines· Familiarity with medical terminology, especially in cardiology· Excellent organizational, communication, and problem-solving skills· Ability to manage multiple tasks and prioritize in a fast-paced environment· Demonstrate ability to maintain high level of productivity, time management, organization, attention to detail, documentation skills and ability to resolve conflict in the work place.· Able to make decisions using discretion and independent judgment.· Able to prioritize and manage time to meet deadlines and time constraints.· Pass a criminal background checkJob Type: Full-timeBenefits:401(k)Health insurancePaid sick timePaid time offWork Location: In personCompensation / Pay Rate (Up to): $22.00 - $26.00
Worksite address
fresno, CA, 93726, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.