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Accounts Receivable Specialist II
61st Street Service Corp. Follow up to collect on all open and unpaid accounts with insurance companies and third parties .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing unpaid accounts and appeals within a healthcare billing environment, with a strong focus on customer service and effective communication of insurance processes and policies.
Highest-signal resume keywords
Physician Billing ExperienceInsurance Claims AppealsEpic Electronic Billing SystemsMedical Terminology KnowledgeCustomer Service Orientation
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claim Denial ResearchPayer Policy ApplicationCharge CorrectionsAccount History ReviewDemographic Information Updating
Soft Skills
Patient-Focused CommunicationTimely Response to Correspondence
Tools & Technologies
Billing System DocumentationOnline Portals for Claims
Certifications & Qualifications
High School Graduate or GED
Industry Keywords
Third Party Payer EnvironmentAcademic Healthcare SettingDiagnosis and Procedure Coding
About the role
Key responsibilities & impact- Follow up to collect on all open and unpaid accounts with insurance companies and third parties
- Inquire about unpaid claims
- Appeal denied claims with insurance companies
- Contact patients or account guarantors
- Research root issues of denials
- Apply payer policies to pursue appeals or follow up to obtain payment
- Review account history for continuous follow-up
- Address incoming correspondence and respond timely
- Prepare correspondence to insurance companies, patients, and/or guarantors
- Contact insurance companies and patients/guarantors by phone, correspondence, online portals, and other approved means
- Document claim issues and actions taken in the billing system
- Perform charge corrections based on payer and institutional policies
- Update demographic and insurance coverage information and bill new insurance as appropriate
- Perform other assigned duties
Requirements
What you’ll need- High school graduate or GED certificate is required
- Minimum of 1 year of experience in a physician billing or third party payor environment
- Strong customer service and patient-focused orientation
- Ability to understand and communicate insurance benefits explanations, exclusions, denials, and the payer adjudication process
- Experience in Epic/electronic billing systems preferred
- Knowledge of medical terminology, diagnosis and procedure coding preferred
- Previous experience in an academic healthcare setting preferred
Benefits
Comp & perks- Competitive comprehensive benefits package
- Healthcare benefits
- Paid Time Off
- Opportunity to grow as part of a Revenue Cycle Career Ladder