POSITION SUMMARY

The Billing AR Specialist is a key position in two ways: First, the employee allows the patients to feel that they are being treated fairly in terms of credit and collection policies, and that their health insurance companies are being accurately billed. Second, the employee is able to directly affect the cash flow of the corporation by the abilities and knowledge of the employee, and how the employee utilizes those attributes.

ESSENTIAL DUTIES AND RESPONSIBILITIES

The essential functions include, but are not limited to the following:

• Following up on insurance denials, recoupments and payments for insurance claims over 90 days [Dental, MVA , Workman’s Comp, Commercial, AHCCCS, third party and/or Medicare FQHC and Medicare secondary] and assists patients with policies and procedures.

• Working directly with the Billing specialist, insurance company, insurance provider representatives, healthcare provider, and patient to get a claim processed and paid
• Providing denial spreadsheets to provider reps for denials or recoupments to collect payments
• Must meet production and quality standards.
• Responsible for daily and monthly billing processes.
• Reviewing and appealing unpaid and denied insurance claims.
• Responsible for posting payments, adjustments and denials from insurance companies, consumers and governmental agencies.
• Responsible for processing refunds to insurance companies and patients
• Resolving account discrepancies and collections for insurance payments

• Establishing and maintaining confidential employer and business files
• Maintaining financial documents using an organized electronic medical record system as instructed electronically or non-electronically
• Producing and preparing daily, weekly, monthly financial statements/reports for Manager
• Verifying transactions comply with financial policies and procedures established by UCHC
• Upholding professionalism by providing courteous customer service to patients, providers, other departments, clients, and vendors
• Assist billing department with other project and deadlines when needed
• Performing other duties as assigned

Additional Duties & Responsibilities

• Ability to maintain discretion when handling confidential information. Adhere to HIPAA rules and regulations.
• Works in cooperative fashion with other team members.
• Demonstrates proficiency with the practice management system, appropriate to job responsibilities.
• Must have a general understanding of accounting principles.
• Assists staff training as needed at all levels.
• Acts as intermediary between UCHC and patients when necessary.
• Travels to UCHC clinic locations on an as needed basis
• Participates in inter-disciplinary task forces and work groups as relevant.
• Other duties as assigned.

QUALIFICATIONS / REQUIREMENTS (KNOWLEDGE, SKILLS, AND ABILITIES)

• High school diploma or G.E.D. equivalent required
• Two or more years Accounts Receivable (A/R) and/or Medical Billing preferred
• Equivalent combination of education and/or experience will be considered
• Associate degree preferred in medical office administration or business administration
• General understanding of accounting practices and principles

Licensure/Certification

• Valid Arizona driver’s license
• Current CPR certification

Experience/Skills

• Computer literacy required with knowledge of practice management software, electronic claims, proficient in Microsoft Office products.
• Ability to communicate effectively with patients, insurance company representatives and co-workers both verbally and in writing using the English language. Ability to speak Spanish is desirable, but not required.
• Solid problem solving and decision-making capabilities and the ability to handle stressful and urgent situations primarily involving patient billing concerns.
• Well organized, ability to prioritize, good planning skills, patience, self-starter and positive attitude. Attention to detail and ability to work independently. Prior accounting/bookkeeping experience desirable.
• Ability to maintain a high level of accuracy in preparing and entering financial data
• Ability to effectively apply analytical and problem solving skills
• Excellent time managing skills with the ability to multi-task, prioritize, and meet deadlines
• Ability to add, subtract, multiply and divide all units of measure, using whole numbers, fractions and decimals. Ability to compute rate, ratio, and percent and to draw and interpret graphs such as bar graphs and pie charts.
• Knowledge of medical terminology and anatomy a plus.
• A positive, professional attitude.
• A team player; able to work in and foster a team environment.

PHYSICAL DEMANDS AND WORK ENVIRONMENT

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the functions. While performing the duties of this position, the employee is regularly required to talk or hear. The employee frequently is required to use hands or fingers, handle or feel objects, tools, or controls. The employee is occasionally required to stand; walk; sit; and reach with hands and arms. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this position include close vision, distance vision, and the ability to adjust focus. The noise level in the work environment is usually low to moderate.