Cybersecurity Engineer

Summary Description:

Accounts Receivable Specialist is responsible for providing timely and efficient follow-up with all payer types for all unpaid claims and presenting data to appropriate parties.

Daily Responsibilities:

• Researches and resolves unpaid, denied, or pending claims and invoices.


• Responsible for the appeal process including filing appeals and monitoring appeals through completion.


• Responsible for accurate information and data input on all patients, insurance, notes, and claims.


• Generates invoices for client billing.


• Negotiates with the responsible party on unpaid accounts.


• Assists in identifying potential billing issues.


• Participates in staff meetings and offers appropriate and constructive suggestions and criticism.


• Utilizes any extra time during decreased workload to assist other employees that may have extra workloads.


• Organizes work in a manner to keep up with all the details of the job requirements.


• Demonstrates competency in skills and knowledge pertinent to the practice of accounts receivable.


• Demonstrates working knowledge of insurance carrier rules and regulations as pertaining to reimbursement.


• Consistently performs routine tasks in an independent manner, while exercising good judgment during those instances when help may be needed, or a supervisor needs to be informed.


• Other duties as assigned.

Required Skills

• Seeks continual professional development by updating current knowledge base regarding private insurance reimbursements.


• Utilizes proper chain of command when addressing concerns or problems.


• Proficient computer skills with Microsoft Excel.


• Excellent Communication (Verbal & Written) Skills.


• Data entry skills.


• Strong work ethics and confidentiality.


• Time management skills and attention to detail.

Required Experience

• High school diploma or equivalent


• 2 + years of relevant healthcare AR and denials experience required.


• Experience working with claims billing preferable.

Qualifications:

• Seeks continual professional development by updating current knowledge base regarding private insurance reimbursements.


• Utilizes proper chain of command when addressing concerns or problems.


• Proficient computer skills with Microsoft Excel.


• Excellent Communication (Verbal & Written) Skills.


• Data entry skills.


• Strong work ethics and confidentiality.


• Time management skills and attention to detail.