This position is located at the Birmingham Business Office Summary: Under general supervision, an AR Account Follow-Up Specialist is responsible for account follow-up for all assigned accounts, resolving billing problems and answering patient inquiries. Uses collection techniques to keep accounts receivable current including monitoring for delinquent payments. The Account Follow-Up Specialist will review insurance claims and take the appropriate action, including completion of submissions, reconsiderations, appeals, or re-working denials, to ensure payment is received timely. Essential Duties and Responsibilities: + Performs audits of patient accounts to ensure accuracy and timely payment. + Reviews account aging monthly and reports inconsistencies and correct errors as appropriate. + Follows up on insurance billing to ensure timely receipt of payments. + Demonstrates the ability to deal with patients and insurance companies regarding sensitive financial matters and recapture unpaid balances. + Receives and resolves patient billing complaints and questions; initiates adjustments as necessary; follows up on all zero payment explanations of benefits and exercises all options to obtain claim payments. + Reviews credit balance reports for correct recipient of refund. + Performs reconciliation of refund accounts; attaches documentation and forwards to supervisor to process refund checks. + Identifies problems on accounts and follows through to conclusion. + Responds to insurance companies requests for information in a prompt and professional manner. + Reviews appropriate files to identify deceased patients and estates; verifies dollar amounts and files estate to appropriate court in a timely manner. + Reviews EOBs to ensure proper reimbursement of claims and reports any problems, issues, or payor trends to supervisor. + Resubmits insurance claims within 72 hours of receipt. + Participates in maintaining Payor Manuals/Profiles. + Works closely with collection agency to assure that they receive updated information on accounts as necessary. + Prepares write-off requests with appropriate documentation and submits to supervisor. + Processes insurance/patient correspondence, including denial follow-up within 48 hours of receipt. Files all reimbursement correspondence daily. + Works with provided aging to monitor patient account aging and follows up appropriately. + Maintains confidentiality in regard to patient account status and the financial affairs of clinic/corporation. + Other relevant duties as assigned + Must possess a comprehensive knowledge of revenue cycle functions and systems, physician practice revenue cycle operations, revenue metrics and analytics. + Must have strong management and leadership skills that emphasize team building and collaboration. Not afraid to jump in and help with backlogs or projects. + Excellent communications skills, written and verbal with ability to provide clear direction to staff as well as presentation skills. + Proficient with computers and their applications including EMR's, Practice Management systems, databases, and Microsoft Office products such as Outlook, Excel, and Word. + Have a track record of leadership success in healthcare revenue cycle management. + Demonstrated knowledge of the federal, state, and local regulatory requirements around medical billing and coding as well as CMS and payer regulations. + Ability to work independently. + Able to manage multiple projects at once, ability to work efficiently and effectively under tight deadlines. + Demonstrates advanced analytical, evaluative, problem solving and decision-making, fostering innovative approaches to situations/processes/issues. + Strong collaborative leadership qualities, willing to work side by side with staff when “hands on” approach is needed. + Experience in a complex healthcare organization preferred with oncology experience highly desirable. Requirements + Bachelors (preferred) in healthcare, accounting or related field or a high school graduate + 3 plus years of experience + Experience in medical billing /insurance processing and balancing accounts Company Benefits + Family/Work balance Monday - Friday work schedule + Company Holidays + Company Vacation + Excellent Medical with vision included. + Excellent Dental + Free parking EOE