Charge Entry Specialist

US-GA-Carrollton

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Job Description

Job Summary:


The Insurance AR Specialist is responsible for working the accounts receivable, meeting all AR goals and meeting all cash collection goals. The Insurance AR Specialist is also responsible for addressing claims that have been denied or partially paid. This position is responsible for contacting the insurance carriers in order to obtain the current status of claims, request claim review and provide additional documentation on all assigned insurance companies. Additionally this position conducts regularly scheduled conference calls with each assigned client to review the current state of the AR, discuss trending issues, identify areas of needed training, and provide updates on cash collections. The Insurance AR Specialist serves as the primary contact person for each client and reports directly to the Client Relationship Manager.

 

Essential Responsibilities and Duties:


• Researching and resolving all outstanding claims
• Identifying denial trends
• Communicating trends and reviewing AR with client
• Meeting all department AR goals

 

Skills & Requirements

Qualifications:


• Medical Billing Certificate
• Medical office experience
• Experience with PrimeSuite

 

Skills/Knowledge:


• Ability to read and interpret Explanation of Benefits
• Knowledge of medical terminology
• Strong computer skills
• Knowledge of physician practice processes and workflows required