Summary
This position is critical to the overall revenue cycle team, particularly in billing and collecting on old accounts. The Revenue Cycle AR Specialist assists with rebilling coding and Medicaid denials. The individual will identify accounts with credit balances and take appropriate steps to resolve the balance.
Qualification
To perform this job successfully, an individual must be able to perform each essential job duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Essential Job Functions
- Submits claims for Medical, Dental, or Vision billing.
- Investigating reasons for non-payments on aging accounts, once reason is verified attempt to collect or move forward accordingly.
- Investigating claim denials, addressing discrepancies, and coordinating with insurance companies to ensure timely payment processed.
- Staying updated on healthcare regulations and ensuring billing practices comply with federal and state guidelines.
- Identify potential errors, correcting coding issues, and resubmitting claims for proper reimbursement for private and government insurances.
- Identify credit balances and resolve the balance once researched verifies the accuracy.
- Constant problem solving and communication is required.
Education & Experience
- High School diploma or general education degree (GED).
- One to two years of related hospital billing experience or training preferred.
- Medical Billing Certificate required or able to obtain within one year of position.
Desired Knowledge, Skills & Abilities
- Effective verbal and written communication skills.
- Good problem-solving skills, interpersonal skills, and analytical skills.
- Ability to effectively present information in one-on-one and small group situations to customers, patients, and other employees of the organization.
- Interact professionally with clients and co-workers and ensure patient confidentiality.
- Ability to work effectively in cross-cultural environment.
- Ability to write simple correspondence.
- Proficient computer skills utilizing RPMS, word processing programs and Microsoft Excel.
- Proficient skills in the use of computers including data entry.
Computer Skills
- RPMS or similar programs preferred
Certification/Licensure
- Preferred Medical Billing Certificate or ability to obtain.
Arctic Slope Native Association, Ltd.: Exercises its rights in Native Hire Preference, Contracting/Subcontracting and Employment Practices applicable by law is committed to maintaining a drug free, smoke free workplace.
