A/R Specialist

Job Description

Job Description

Description:

Carolina Neurosurgery and Spine Associates is seeking a Full-Time A/R Specialist for our Charlotte office.

Job Objective: To maximize practice revenue by working effectively and efficiently with others to meet monthly RCM goals. Promotes positivity and collaboration within all CNSA departments.

Essential Job Responsibilities:

• Processes insurance claims by following up with assigned insurance companies, resubmitting claims or inquiries, and working rejections from the clearinghouse
• Works and updates assigned tasks until the account has reached a zero balance or turned over to patient responsibility
• Checks for denials from claim scrubbing process
• Assists with coding and error resolution from the clearinghouse and insurance companies
• Processes refunds in a timely manner
• Reduces claim denial turn-around time by following up with assigned insurance company
• Assists the front desk regarding carrier questions
• Submits secondary insurance as needed, if submitted by paper claims
• Maintains strictest confidentiality and follows all CNSA guidelines regarding HIPAA regulations
• Follows CNSA compliance program, reports any concerns to manager
• Participates in educational activities and training, reads carrier policies, and stays up to date on all changes that are published through bulletins or on the web sites
• Completes additional tasks as assigned by management

This posting is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities of this position. CNSA retains the discretion to add to or change the job responsibilities of any position at any time with or without notice.

Company Culture Responsibilities:

• Reflects CNSA Core Values in all job responsibilities and interactions
• Compassion: Treats others with compassion and empathy
• Teamwork: Collaborates with all team members
• Communication: Communicates effectively and with positivity
• Integrity: Acts with integrity and accountability
• Innovation: Remains open-minded to new ideas and continual improvement
• Community: Treats every patient and team member as a part of the CNSA community
• Participates in department or system wide improvement plans
• Reports to work and adheres to assigned schedule from manager
• Performs high-quality work that is neat, accurate, complete, and on time
• Offers help to all patients by promptly responding to requests and needs
• Asks questions to gain full understanding of assignments
• Uses computer for approved work purposes only, and limits personal phone calls

Monday – Friday: some flexibility as to exact hours ranging from 8:00am – 5:00pm.

Education: At least a High School Diploma or GED

Job Related Experience: Minimum of one year billing or front desk experience in a health care organization

Other Requirements:

Performance Requirements:

Knowledge:

1. Medical and insurance terminology
2. Payer guidelines
3. Legal and ethical considerations related to patient information
4. HIPAA guidelines and policies
5. Customer service principles and techniques
6. Awareness and understanding of interdepartmental responsibilities for informed decision making

Skills:

1. Time management, problem solving, multitasking, and prioritizing
2. Effective communication
3. Basic understanding of Microsoft Office Suite
4. Detail orientation

Abilities:

1. Establishes and maintains effective working relationships with coworkers and diverse patient populations
2. Analyzes situations and responds appropriately
3. Organizes and prioritizes information and assignments
4. Works independently with little or no supervision

Working Environment: Office-based with most communication to insurance companies via phone

Mental/Physical Requirements: Sitting and standing associated with a typical office environment. Speaking and hearing, both in-person and on the phone.