This job is archived
(Archived) Commercial AR Specialist
Job Description
Direct Report
Supervisor of Commercial AR
Job Summary
The Commercial Accounts Receivable Specialist assists in the follow up of all Medicaid unpaid claims and open balances. This includes timely follow up on outstanding denials and assisting in identifying trends that can negatively impact revenue.
Responsibilities
- Work unpaid and denied claims
- Contact payers to research claim status
- Pull procedure reports.
- Update internal documents with claim results/status.
- Constant communication with departments within our organization (EDI, Verification, Billing, Credentialing, etc.) as well as external clients (i.e. Payers)
- Generate claims and assist in preparing and submitting appeals to payers
- Report to AR Manager any denial trends that can negatively impact revenue for the assigned region in a timely manner
Qualifications
- Must have knowledge of Microsoft Excel, Word and Outlook
- Excellent Communication Skills (written and verbal)
- Well-organized and detailed with the ability to communicate in an appropriate and timely manner.
- Ability to work well with a team
- Multi task oriented
- Revenue Cycle experience required