Accounts Receivable Specialist II

Description:
• The Accounts Receivable Specialist II is responsible for processing insurance claims and billing.
• Processes claims: investigates insurance claims; properly resolves by follow-up & disposition.
• Verifies patient eligibility with secondary insurance company when necessary.
• Bills supplemental insurances including all Medicaid states on paper and online.
• Mails all paper claims.
• Manages billing queue as assigned in the appropriate system.
• Investigates and updates the system with all information received from secondary insurance companies.
• Ensures that all information given by representatives is accurate by cross referencing with the patient's account, followed by using honest judgement in any changes that may need to be made.
• Processes denials & rejections for re-submission (billing) in accordance with company policy, regulations, or third party policy.
• Updates patient files for insurance information, Medicare status, and other changes as necessary or required.
• Keeps email inbox requests up to date; checks for new messages on an hourly basis.
• Complies with HIPAA rules, appropriately safeguarding PHI or other private & confidential information.
• Maintains accurate and detailed notes in the company system.
• Adapts quickly to frequent process changes and improvements.
• Is reliable, engaged, and provides feedback to improve processes and policies.
• Attends all department, team, and weekly company meetings as required.
• Appropriately routes incoming calls when necessary.
• Meets company quality standards.
• Embraces and exemplifies ADS core values: o We put our people first.o We serve our members with passion o We take ownershipo We pursue excellenceo We never stop growing

Requirements: • High School diploma or equivalent • 1 year experience with insurance billing and processing claims • 1 year experience with Medicare claims, and Medicare and private insurance verification • Knowledge of insurance portals; familiarity with a variety of medical and/or insurance terms or practices • Knowledge of, or ability to learn all areas of collections specialization • Proficiency in basic math and business calculations • Working knowledge of computer/data entry with the ability to learn new systems • Basic level of MS Office proficiency

Benefits:
• Health, Dental & Vision options
• FSA and HSA plan with Employer Contribution
• Employer paid EAP
• 401k with 4% Company Match
• Discretionary Profit-Sharing Plan
• Paid Time Off (PTO) Including 7 Paid Holidays and a Birthday Holiday
• On-Site Gym
• In-house Training Programs
• A fun culture in a fast-growing organization!

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