Specialist, Accounts Receivable

Direct account follow-up and/or billing experience.

Medical Terminology, ICD-10, CPT and DRG knowledge

Provides information regarding patient accounts in response to inquiries, safeguarding confidential information in verbal replies and correspondence.

Demonstrates understanding of the entire revenue cycle.

Assists with problem solving, inquiries, and customer interaction to ensure positive results.

3-5 years of collections experience in a Hospital Business Office

Responsible for follow-up and collecting on accounts in assigned inventory.

Utilizes experience and follow-up strategies and tools to resolve claims and obtain payment.

Escalates unpaid claims to payer claims supervisor as appropriate when regular follow-up efforts are not successful.

root cause, action, etc.) in Amplify’s workflow tool so trends can be identified and addressed.

Writes first and second level appeals of all denials in effort to overturn and secure payment.

Escalates payer denial and other trends to Management for further assistance.