Insurance AR Billing Specialist I

Company Name:
MedExpress Urgent Care
General Position Summary
Responsible for managing the insurance accounts recievables post claims processing to include edits, rejections, and denials. Accurate claims submission with payee guidelines, timely account follow up and assistance with denial management to ensure the financial viability of the urgent care clinic locations. Opportunities available in Pittsburgh or Morgantown.
MedExpress Core Responsibilities
Has a contagious and positive work ethic, inspires others, and models the behaviors of Genuine, Caring, Friendly.
Demonstrates effective verbal and written communication that is clear, well-organized, and demonstrates an understanding of audience needs.
Through genuine and positive communication, makes each customer feel informed, understood, and special.
An effective team player who contributes valuable ideas and feedback and can be counted on to meet commitments.
Is able to keep up in the MedExpress environment by facing tasks and challenges with energy and passion.
Pursues activities with focus and drive, defines work in terms of success, and can be counted on to complete goals.
Adherence to standards of business conduct and compliance.
Major Responsibilities
1. Work with insurance carriers to obtain payment on delinquent charges by maintaining a timely follow up process.
2. Responsible for payment posting, refund process, accounts recievable, as well as collections depending on assigned area.
3. Responsible for reconciliation of billing account transactions to ensure accurate information according to established guidelines/procedures.
4. Maintain aging of outstanding accounts receivable within guidelines and goals established.
5. Responsible for maintaining and keeping all edits, denials, and rejections at a current status within the established time frame.
6. Other duties as assigned.
Position Requirements
Knowledge, Skills, Abilities and Other Qualifications
1. Solid knowledge of the revenue cycle process, preferred minimum of 1-3 years.
2. Experience working with Revenue Cycle software, athenaNet preferred, but not required.
2. Knowledge of CPT and ICD codes, and HIPAA.
3. Ability to understand and apply knowledge of established insurance contracts, understanding of explanation of benefits, payment posting, charge
entry, and refund process.
4. Strong organizational skills and ability to multi-task in a fast paced environment.
5. Demonstrate flexiblity to meet the needs of the Revenue Cycle in regard to changes in work volume, planned change, scheduling changes, etc.
6. Ability to work with payors and patients and effectively communicate account issues and drive account resolution.
7. Experience identifying payor trends around changes in expected reimbursement and denials.
Working Conditions
Non-Center Based. Requires: the ability to sit at a computer for hours at a time (with some bending and stooping) and travel to Centers (if so, the noise level is moderate and there is potential for exposure to infectious diseases and blood-borne pathogens).

This position is currently accepting applications.
Title: Insurance AR Billing Specialist I
Category: Billing
Full-Time/Part-Time: Full-Time
Location: MedExpress - Southpointe Regional Office

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