Medical Accounts Receivable Specialist
Full-time
Associate
Job Overview
- Perform payment follow-up activities on assigned patient accounts.
- Conduct collection activities by contacting government agencies, third-party payers, or patients via phone, email, or online portals.
- Continue follow-up efforts until the account is resolved, paid, or appropriately escalated.
- Review and address previously appealed claims, ensuring timely responses from payers.
- Request and track additional documentation from internal departments or patients as needed.
- Research payer plans and verify benefit coverage to resolve claim discrepancies.
- Identify billing or coding issues and request re-bills, secondary billing, or corrected claims as required.
- Monitor payer trends and escalate recurring issues or delays to management.
- Maintain productivity and quality standards for assigned accounts.
- Ensure compliance with all federal, state, and payer-specific regulations related to medical collections and appeals.
- Collaborate with other departments to ensure efficient resolution of account issues.