Accounts Receivable & Collections Specialist

Job Summary
 MBI Industrial Medicine is seeking a detail-oriented AR Specialist to support our occupational and industrial medicine revenue cycle operations. Ensures timely and accurate collection of payments from insurer, employer or patient as applicable. Has proficient knowledge of PPO, contract reductions, allowables, denial and rejection codes. Knows how to read an Explanation of payment and identify path to resolution of unpaid balances.

Office Location: This position is designated as In-Person for our Corporate Office in Colorado Springs, CO

Compensation: $21-25/hr

Key Responsibilities

• Develops connections with Adjusters, payor representatives and employers to resolve claim issues. Escalates inquiries tactfully and professionally to secure payment from responsible parties. Consistently follows-up with various parties including employers, insurance companies, TPAs and labs.
• Identifies denial and non-payment trends and reports them to the Leads.
• Works aging accounts from worklists and ensures timely follow-up to avoid write-offs or timely filing issues.
• Practice one touch resolution to avoid repetitive non-productive results.
• Completes average 45 accounts per day, performing analysis of non-payment, rejection or denial codes and takes active steps to solve for payment.
• Prepares and distributes periodic reports on A/R and past due accounts for management and clients
• Negotiates with payment terms with clients on past due accounts
• Makes decisions on referring accounts for collections or write off
• Trains new employees and assist peers
• Other duties as assigned. Duties, responsibilities and activities may change at any time with or without notice
• Determines when adjustments are appropriate and necessary and applies.
• Research and resolve payment issues such as identifying misapplied or missing payments. Get the correct documentation and work with the Payment posting department for corrections.
• Interacts with clinics when necessary to resolve invoice charges or issues and secures supporting documentation
• Schedules and prioritizes work to meet deadlines and facilitate efficient workflows.
• This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change with or without notice.

Job-related skills/competencies

• Ability to make decisions or solve problems by using logic to identify key facts, explore alternatives, and propose quality solutions
• Attention to detail, sense of immediacy to resolve issues, takes initiative, flexible.
• User level experience with Microsoft Excel, Outlook, Word experience required
• Excellent time management skills
• Ability to make decisions or solve problems by using logic to identify key facts, explore alternatives, and propose quality solutions
• Outstanding customer service skills as well as the ability to deal with people in a manner which shows tact and professionalism
• Excellent writing and documentation skills
• Ability to work independently
• Ability to handle multiple tasks, projects, duties, and priorities, when assigned
• This job requires access to confidential and critical information, requiring ongoing discretion and secure information management.
• Proper handling of sensitive and confidential information (including HIPAA and PHI) in accordance with federal and state laws and company policies
• Ability to communicate professionally, effectively and correctly in writing or verbally to all levels of staff and outside parties.

Job-related experience

• At least three or more years of demonstrated AR follow-up experience preferably in Occupational Health, PT.
• Proficiency in insurance follow-up and collections using online tools and platforms.
• Experience in using the Claims clearinghouse to research payor responses and refiling claims as needed.
• Experience in occupational health or industrial medicine is a plus

Education/credentials

High school diploma or GED equivalent