Billing AR Specialist
Company: United Community Health Centers
Location: Green Valley
Posted on: September 15, 2023
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Job Description:
Description:POSITION SUMMARYThe Billing AR Specialist is a key
position in two ways: First, the employee allows the patients to
feel that they are being treated fairly in terms of credit and
collection policies, and that their health insurance companies are
being accurately billed. Second, the employee is able to directly
affect the cash flow of the corporation by the abilities and
knowledge of the employee, and how the employee utilizes those
attributes.ESSENTIAL DUTIES AND RESPONSIBILITIESThe essential
functions include, but are not limited to the following:Following
up on insurance denials, recoupments and payments for insurance
claims over 90 days Dental, MVA , Workman's Comp, Commercial,
AHCCCS, third party and/or Medicare FQHC and Medicare secondary and
assists patients with policies and procedures.Working directly with
the Billing specialist, insurance company, insurance provider
representatives, healthcare provider, and patient to get a claim
processed and paidProviding denial spreadsheets to provider reps
for denials or recoupments to collect paymentsMust meet production
and quality standards.Responsible for daily and monthly billing
processes.Reviewing and appealing unpaid and denied insurance
claims.Responsible for posting payments, adjustments and denials
from insurance companies, consumers and governmental
agencies.Responsible for processing refunds to insurance companies
and patientsResolving account discrepancies and collections for
insurance paymentsEstablishing and maintaining confidential
employer and business filesMaintaining financial documents using an
organized electronic medical record system as instructed
electronically or non-electronicallyProducing and preparing daily,
weekly, monthly financial statements/reports for ManagerVerifying
transactions comply with financial policies and procedures
established by UCHCUpholding professionalism by providing courteous
customer service to patients, providers, other departments,
clients, and vendorsAssist billing department with other project
and deadlines when neededPerforming other duties as
assignedAdditional Duties & ResponsibilitiesAbility to maintain
discretion when handling confidential information. Adhere to HIPAA
rules and regulations.Works in cooperative fashion with other team
members.Demonstrates proficiency with the practice management
system, appropriate to job responsibilities.Must have a general
understanding of accounting principles.Assists staff training as
needed at all levels.Acts as intermediary between UCHC and patients
when necessary.Travels to UCHC clinic locations on an as needed
basisParticipates in inter-disciplinary task forces and work groups
as relevant.Other duties as assigned.Requirements:QUALIFICATIONS /
REQUIREMENTS (KNOWLEDGE, SKILLS, AND ABILITIES)High school diploma
or G.E.D. equivalent requiredTwo or more years Accounts Receivable
(A/R) and/or Medical Billing preferredEquivalent combination of
education and/or experience will be consideredAssociate degree
preferred in medical office administration or business
administrationGeneral understanding of accounting practices and
principlesLicensure/CertificationValid Arizona driver's
licenseCurrent CPR certificationExperience/SkillsComputer literacy
required with knowledge of practice management software, electronic
claims, proficient in Microsoft Office products.Ability to
communicate effectively with patients, insurance company
representatives and co-workers both verbally and in writing using
the English language. Ability to speak Spanish is desirable, but
not required.Solid problem solving and decision-making capabilities
and the ability to handle stressful and urgent situations primarily
involving patient billing concerns.Well organized, ability to
prioritize, good planning skills, patience, self-starter and
positive attitude. Attention to detail and ability to work
independently. Prior accounting/bookkeeping experience
desirable.Ability to maintain a high level of accuracy in preparing
and entering financial dataAbility to effectively apply analytical
and problem solving skillsExcellent time managing skills with the
ability to multi-task, prioritize, and meet deadlinesAbility to
add, subtract, multiply and divide all units of measure, using
whole numbers, fractions and decimals. Ability to compute rate,
ratio, and percent and to draw and interpret graphs such as bar
graphs and pie charts.Knowledge of medical terminology and anatomy
a plus.A positive, professional attitude.A team player; able to
work in and foster a team environment.PHYSICAL DEMANDS AND WORK
ENVIRONMENTThe physical demands described here are representative
of those that must be met by an employee to successfully perform
the essential functions of this position. Reasonable accommodations
may be made to enable individuals with disabilities to perform the
functions. While performing the duties of this position, the
employee is regularly required to talk or hear. The employee
frequently is required to use hands or fingers, handle or feel
objects, tools, or controls. The employee is occasionally required
to stand; walk; sit; and reach with hands and arms. The employee
must occasionally lift and/or move up to 25 pounds. Specific vision
abilities required by this position include close vision, distance
vision, and the ability to adjust focus. The noise level in the
work environment is usually low to moderate.
Keywords: United Community Health Centers, Drexel Heights , Billing AR Specialist, Accounting, Auditing , Green Valley, Arizona
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