Job Description
Accounts Receivable Specialist (Healthcare and Legal Billing)
Key Responsibilities:
- Communicate and collaborate with PCM/CSR to request payment and update payment status.
- Follow up on unpaid medical insurance claims within the standard billing cycle timeframe.
- Review and appeal denied or unpaid medical claims.
- Generate and review statements for legal services related to healthcare billing.
- Call patients regarding all non-responsive attorneys.
- Schedule follow-up reminders for assigned attorneys.
- Document actions in the practice management system.
- Collaborate with medical billing and coding staff to resolve discrepancies and ensure accurate billing records.
- Prepare reports and analyze accounts receivable status for management review.
- Answer all attorney/patient inquiries pertaining to assigned accounts.
- Carry out collection and reporting activities according to specific deadlines.
- Collaborate with teams and the Director to discuss account statuses, challenges, and collection strategies periodically.
- Maintain confidentiality of patient and legal information in accordance with HIPAA regulations and ethical standards.
Job Requirements:
- Proven experience as a Medical Accounts Receivable Specialist or Legal Accounts Receivable Specialist, preferably in a healthcare setting.
- Familiarity with medical and legal billing software (e.g., Nextgen) and proficiency in modern IT software (e.g., Microsoft Office Suite, Excel, PowerPoint, Salesforce, Word, etc.).
- Strong understanding of medical billing processes, including CPT and ICD-10 coding, and legal billing practices.
- Exceptional communication and interpersonal skills, with the ability to interact professionally with healthcare providers, legal professionals, and patients.
- Excellent attention to detail and the ability to maintain accuracy in billing records.
- Customer service skills for interacting with attorneys and patients regarding payments.
- Ability to work well in a team environment, prioritize tasks, and multitask efficiently.
- Strong organizational and time-management skills.
- Problem-solving skills to research and resolve discrepancies and collections.
- A calm manner and patience when working with patients and attorneys.
- Knowledge of legal terminology and procedures related to healthcare billing is preferred.
- Understanding the collection process, including when to call attorneys, follow up, confirm balances, and obtain proof of payment from attorneys.
- Maintain patient confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA).
Preferred Qualifications:
- A minimum of two (2) years of experience in a healthcare billing/accounts receivable environment or related field, or any combination of education, training, or experience in a healthcare business office environment.
Job Tags
Work at office