City
Columbus
Shift
Job Code
AR1R
Job ID
35393
Category
Healthcare: Enrollment/ Billing Provider
Employment Status
Schedule
Travel Involved
Company
PROVIDER

ARS1 - Gahanna Office - RM

 

JOB DESCRIPTION

Hours:  Monday - Friday 8a - 4:30p

GENERAL SUMMARY:
 
The goal of the Account Resolution Specialist l is to successfully collect on aging medical insurance
claims, either in the office or at the client site. 
 
Foundation Knowledge, Skills, and/or Abilities Required: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
 
Essential Duties and Responsibilities:
 
  • File claims using all appropriate forms and attachments.
  • Research account denials and file written appeals, when necessary.
  • Evaluate the information received from the client to determine which insurance to bill and attain necessary attachments or supporting documentation to send with each claim.
  • Research account information to determine the necessary attachments or supporting documentation to send with each claim.
  • Ensure the integrity of each claim that is billed.
  • Document in detail all efforts in CUBS system and any other computer system necessary.
  • Verify patient information and benefits.
  • Appeal accounts in writing.
  • Draft letters to clients.
 
Additional Duties and Responsibilities:
 
  • Meet specified goals and objectives as assigned by management on a regular basis.
  • Maintain confidentiality of account information at all times.
  • Maintain awareness of and actively participate in the Corporate Compliance Program.
  • Assist with other projects as assigned by management
  • Maintain good working relationships with state and Federal agencies.
  • Resolve accounts in a timely manner.
Maintain a neat and orderly work station

JOB REQUIREMENTS

Educational/Vocational/Previous Experience Recommendations:
 
  • High school diploma or equivalent is required.
  • Formal training in the specialty of Insurance Billing preferred.
  • Knowledge of all insurance payers preferred.
  • Proficient PC knowledge and the ability to type 30-40 wpm.
  • Professional written and verbal communication skills.
  • Capacity to prioritize multiple tasks in a busy work environment.
  • Organization and time management skills.
  • Capability to present oneself in a courteous and professional manner at all times.
  • Ability to stay on task with little or no supervision.