- Associates degree or higher in a related field or equivalent combination of education and experience
- Minimum three (3) years high volume pharmacy/medical billing and collection experience; experience in a senior role preferred
- Experience analyzing EOBs and remittance advice and performing detailed research of claims and outstanding balances
- Ability to identify root cause and resolve trends and issues with minimal supervision
- Autonomous, proactive and requires very minimal supervision
- Target oriented and AR resolution mind set
- Analytical background
- Able to juggle multiple responsibilities at one time
- The ability to add value on day 1
salary: $54,000 - $54,000 per year
shift: First
work hours: 8 AM - 5 PM
education: Associate
Responsibilities
- Manage high volume collections and follow-up activity; analyze and resolve issues to ensure timely and accurate reimbursement
- Identify key stake holders or primary contacts within payer communities to drive more effective processes
- Guide team of AR Specialists optimizing collections and minimize aging of receivables
- Respond to process related queries and manage 1st level escalations.
- Effectively prioritize and manage outstanding refund requests and overpayments to support contract and legal adherence with all payers including Medicare and Medicaid.
- Investigates collection issues internally; and provide representation when needed of the Accounts Receivable area to internal departments
- Prepares and presents recommendations for issue resolution to supervisor, based on best practices and expertise; leads implementation of solution and provides timely notification on potential issues of delinquency.
Skills
Qualifications
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