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Accounts Receivable Specialist
Job Code:2019-GANNETT DR-039
Schedule:Full Time 32-40 hrs/wk

Job Responsibilities:

• Reviewing claims prior to submission
• Review for appropriate CPT and ICD-9/10 coding based on insurer requirements and coding guidelines (i.e. modifiers)
• Review of patient demographics (address, telephone #, guarantor changes, etc.) and insurance (certificate #, new primary or secondary coverage, etc.) for accuracy and completeness
• Ensure provider information is correct
• Ensure that claim is completed and submitted within 48-hours
• Once claims have been processed by the insurer, resolve any claim rejections or denials
• Review all ERAs by line item to ensure patient balances are correct, the correct contractual adjustments have been done according to contracts, and the claims are in the correct status within the practice management system
• Patient accounts containing credit balances need to be applied to outstanding patient balances, or refunded to the insurer or patient based on how the credit was created
• Refunds need to be handled based on the protocol of the insurer you are working with. Patient refunds should be done as they are identified for amounts over $50.00 unless otherwise requested by the patient
• Posting of all payments received from the insurer(s) you are assigned
• Review and management of the insurance aging analysis for the insurer(s) you are assigned

Job Qualifications:
• High school diploma or GED
• Insurance experience required
• Knowledge of insurance reimbursement procedures and practices 

• One to three years of accounts receivable experience (preferably in Health Care)
• Knowledge of accounts receivable practices and medical billing office procedures
• CPC (Certified Coding Professional) preferred
• Knowledge of coding and InterMed operating policies and procedures
• Ability to work effectively with co-workers as a team member
• Ability to communicate effectively and clearly
• Must be able to work quickly and accurately

Other Job Information (if applicable):
Monday-Friday, 8:00am-4:30pm or 8:30am-5:00pm.

InterMed is an Equal Opportunity Employer.