The Accounts Receivable Specialist supports PT Solutions by play ing a key role in the revenue cycle process , by collecting debts from patients or insurance companies. ESSENTIAL FUNCTIONS:
Work aged receivables utilizing A/R reports Review and assess adjudicated claims for timely and proper payment of outstanding balances. Research, correct, and resubmit or reprocess unpaid claims as necessary Verify validity of account balance by researching, reviewing and ensuring accuracy of payment and adjustment posting Identify liability with guarantor and transfer balances timely and appropriately Review and interpret Explanation of Benefits (EOB) for denials and underpayment of codes Research and resolve denials and underpayments with insurance carriers Submit carrier appeals and reconsideration requests in a timely manner Process insurance refund requests as necessary and according to policy and procedure Meet productivity goals/benchmarks as set and communicated by Billing Manager Serve as primary customer service representative for payer inquiries/calls and secondary for patient inquiries/calls Maintain confidentiality of patient information Work collaboratively with other Coding, Billing, Front desk and departments as needed MUST HAVES :
Ability to type 60 words per minute preferred.
Great customer service skills. Strong interpersonal, oral (includes telephone skills) and written communication skills. Good organizational skills and an ability to prioritize to meet deadlines. Complete understanding of medical reimbursement and terminology. Working knowledge of all standard office equipment. #LI-AC2
Expanding Access to Quality Care At PT Solutions, we're more than colleagues; we're a tight-knit community united in our mission to expand access to quality care. Our commitment to you is evident in our industry-leading professional development opportunities. From ongoing evidence-based clinical education to dedicated mentorship opportunities and an APTA-accredited Orthopaedic Residency Program, we propel our clinicians toward excellence in physical therapy, occupational therapy, speech-language pathology, and athletic training.
As we aim to be the go-to rehabilitation provider, we seek committed professionals eager to join us in that mission. A career with PT Solutions is an opportunity to shape the industry and make a lasting impact.
Let's go further together and transform care. Join the #PTSLife today!
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