Job Summary:

The Accounts Receivable Specialist reviews and resolves unpaid claims, resubmits claims as necessary, prepares take-backs and refunds, works denials and addresses various billing issues with third party payers and patients. This individual will work on our multi-specialty team.

Why Work for Advocate?

• Great benefits beginning day one to include Medical/Dental/Vision
• HSA, FSA, and Dependent Care FSA options are available
• HSA Wellness Program with $300 employer contribution
• Annual biometric screenings
• Company swag on day one
• Employee appreciation days
• 401k with employer match: 100% on the first 3%, 50% on the next 2%
• A culture of promotion from within
• PTO and sick time
• Ten paid holidays to include the day after Thanksgiving and Christmas Eve
• Consistent Monday through Friday schedule
• Referral bonuses
• Potential for hybrid work schedule
• Parental leave
• Employer-paid short/long-term disability and Life/AD&D
• Employee of the Month bonuses
• Voted one of the 2022 Top Places to Work in Columbus by Columbus CEO Magazine!

Essential Job Functions:

• Performs a thorough and consistent research of and follows up on accounts with outstanding claims using periodic and regular aging reports.
• Contacts the patient and/or third-party payer as appropriate.
• Prepares appeals via appropriate means according to carrier guidelines for all claims that require reconsideration for appropriate or additional payment.
• Identifies and re-assigns financial responsibility as appropriate. Evaluates patient’s financial status and establishes budget payment plans as needed.
• Performs various collection actions as necessary.
• Documents all activity taken in each patient’s account.
• Processes all non-payment correspondence, underpayments, or overpayments.
• Participates in educational activities. Attends regular team meetings and all company-wide meetings.
• Maintains knowledge of multiple practice management systems that the Company uses to manage the revenue cycle process for its clients.
• Conducts self in accordance with the Company’s employee manual.
• Maintains strictest confidentiality and adheres to all compliance regulations.
• Assists the Company by supporting all contractual timelines as outlined in the Billing Service Agreement for each assigned client.
• Accepts and completes other duties as assigned by Team Lead or Manager.
• Performs other related duties as assigned.

Required Skills:

• Excellent verbal and written communication skills
• Proficient in Microsoft Office Suite
• Ability to follow through to completion on all assignments
• Ability to work independently and in a fast-paced environment
• Strong problem-solving skills
• Excellent organizational skills and attention to detail

Education and Experience:

• High school diploma or equivalent required
• At least one year of medical billing/ accounts receivable required
• At least one year of specialty specific experience preferred; i.e., dermatology, orthopedics, etc.
• Knowledgeable of medical terminology, medical coding
• Knowledgeable of third-party billing and reimbursement processes

Physical Demands and Physical Work Environment:

• In-Office/Hybrid Employee
  • Physical Demands: This role routinely uses standard office equipment such as computers, typing, looking at computer screens, inbound and outbound phone/video calls, photocopiers, filing cabinets, and fax/scan machines. Sitting for long periods of time, walking to and from different areas of the building, pushing/pulling/lifting/carrying up to 10 pounds, etc.
  • Physical Work Environment: This job operates in a professional office environment. The parking lot for the building is large and walking is required to approach and enter the building lobby. The office is located on the third floor and is accessible through the building lobby via elevator or stairs. To enter into and maneuver around the office, doors up to 10 pounds must be either pushed or pulled.
• Remote Employee
  • Physical Demands: This role is largely sedentary and requires long periods of time sitting, typing, looking at computer screens, inbound and outbound phone/video calls, other standard office equipment, etc.
  • Physical Work Environment: This role is fully remote which means the individual will work from their own home.

EEO Statement:

ADVOCATE Radiology & Billing Reimbursement Specialists, LLC. does not discriminate in employment on the basis of race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an employee organization, retaliation, parental status, military service, or other non-merit factor.

Job Code: ADVRCM