Typical Medical AR Specialists Include Medical Billing Specialist : Handles day-to-day billings, maintains and grows payor relationships, and ensures optimal billing processes. We have a strong team, supportive management & offer a casual work environment with flex schedules, vacation time, and a comprehensive benefits package including medical, dental, life and retirement plans, Minimum of high school diploma or GED. (Including RDDB/Power Pivot reporting), 2+ year of experience with Point Click Care AR and A&C software program implementation and training, Demonstrate effective organizational and project management skills, Ability to implement effective change control processes, Proven ability to work effectively with all organization levels, Must have the ability to communicate clearly and effectively with all levels of the organization, Expert training skills and ability to provide educational programs to varied levels of facility, regional and corporate staff, Strong Interpersonal skills including active listening, ability to gain support through effective relationships and treating others with dignity and respect at all times, Strong working knowledge of personal computer and software applications used in job functions, (word processes, graphics, databases, spreadsheets, etc. Medical billing professionals handle the financial side of healthcare, translating medical charts into billing codes that are then sent to insurance companies or patients. Your next step on your career path is to write a cover letter and resume. See our sample Billing Specialist Cover Letter. This includes the ability to interface with vendors, resolve issues, ensure compliance, educate leave claimants, coordinate plan changes and initiate appropriate communications, Benefit Determination – Understanding of plan provisions, eligibility determination, how to calculate the leave benefit, payment process, and reporting, Leave of Absence Benefit Plan Design – Ability to deliver leave benefit plans across union and non-union population and all leave types, Benefit Communications and Training - Ability to develop communications and training/compliance materials, Compliance – Knowledge of regulatory laws and administrative practices that affect leave of absence administration, Data Analysis – Knowledge of data analysis methods, which includes the ability to analyze and interpret data, identify trends and implications to the Company, Initiate ideas and seize opportunities to drive reduction in DCSO and over 60, Leverage accepted business practices to generate profitable customer relationships, Facilitate and align on optimal resolution with customer accounts, Engage in customer interface to understand accounting, purchasing, and delivery processes and procedures, Initiate communication with internal teams to achieve timely issue resolution, outline customer accounting processes, and maintain reliable customer service, Review and analyze aged trial balance to identify priority accounts to conduct and facilitate collection efforts, Identify account projections and analysis of portfolio for month end reporting, Resolve customer discrepancies within a timely manner, Take ownership and deliver against both personal and team goals, Team player with ability to work through others on team, Demonstrate initiative for expanding own skill set and knowledge of business, 4 Year Degree in Business, Finance, Accounting or Economics, 1-3 Years Customer Portfolio Management/Cash Collections Experience, Proficient in Microsoft Outlook, Word, Excel and PowerPoint, Contact delinquent customers via telephone and email and maintain consistent follow up with these accounts in accordance with established performance matrix, Escalate accounts where financial instability is apparent, including but not limited to the following: payment & performance bond filings, lien filings and contacting end user or general contractor, Prepare and place identified accounts with appropriate legal counsel or third party collection agency, Work with field office personnel and AR Management to identify process deficiencies and implement established best practices, 1+ years of customer service/collection experience, Collection experience in the construction industry a plus, Must demonstrate self-motivation and be success driven, Good organizational skills with ability to handle multiple assignments, Review aging for duplicate or invalid revenue, Document and process forms to correct receivables, Contact clients regarding late or missed payment, Conduct conference calls with DVPs, GMs and Client Team Leaders regarding outstanding receivable issues, 0-2 years of experience in general accounting, Good written communication and verbal communication skills, Ability to gather data, to compile information, and prepare reports, Knowledge of generally accepted accounting practices, procedures and standards policy and procedure development techniques, Ability to ensure a high level of service and quality is maintained, Ability to work independently and prioritize duties with minimal supervision, in order to meet deadlines, Basic computer skills including familiarity with Word, Excel, and Internet usage, Account problem resolution and reconciliation, Analysis and application of payments in ASM’s Order Management System, Communicate allocation of payment to Cash Receipt Specialist, Filing of client support and application documents, 1-3 years of experience in general accounting or equivalent banking, Strong computer skills including proficiency with Microsoft Word, Excel, PowerPoint, Access, Outlook, and web-browsers, Generate timely billing of assigned payers, Ensure claims are received and processed by payers, Review A/R balances to ensure timely and accurate payments are received, Maintain current and accurate computer data including documentation of all account activity performed in A/R systems, Bill all co-insurance accounts per payer specific guidelines, Establish and maintain communication with Business Office Mangers, Regional Directors of Business Office Services and others responsible for payment of resident care services; ensure all are kept current regarding account status, Review and understand correspondence received from third party payers including remittance advices, Explanation of Benefits, denial letters, etc, Adhere to all established goals and be able to explain variances to goals, Prepare and submit reports in regard to billing and accounts receivable, as required, Embrace Consulate’s five core values of compassion, honesty, integrity, respect, and passion, and incorporate them into one’s daily job function, Conduct oneself with the highest degree of honesty and integrity in every interaction, Participate in proactive team efforts to achieve departmental and company goals, Provide leadership to others through example and sharing of knowledge/skill, Perform all other business-related duties as assigned, Ability to review and audit recorded work effort on claims and phone calls to review items such as inaccurate payment postings, contractual adjustments, reclassification of accounts, denied claims, debits, credits and appeals, Ability to work independently to meet objectives in a repetitive auditing environment, Ability to identify problems, gather and analyze information skillfully and provide recommendations for process improvements, Ability to manage time to meet production requirements by establishing priorities, 4 year college degree is required. Prefer Associate's degree or equivalent of three years of clinical AR/administrative experience, Ability to read and understand insurance / Medicare guidelines. SAP/FSCM Knowledge desirable, Strong mathematical, analytical and reasoning skills when presented with special projects, problems and requests which require decision making and action, Excellent Microsoft Excel and Word skills, including the ability to operate accounting programs, Acts independently to accomplish assignments, Decides when to escalate issues as needed, Performs administrative, professional and/or technical duties that are more complex. It’s actually very simple. Medical Biller and Coder Resume. ), Compiling and Reviewing all documents associated with new material qualification, Maintenance of the Document Change Request database, Maintenance of Quality Assurance files for Document Change Requests, Conducting lifecycle management of quality documents within Documentum, Authoring and modifying SOPs with input from the change initiators, Printing, binding, and distribution of controlled logbooks for all departments, Assists in the preparation for and facilitation of regulatory and customer audits, Requires a Bachelor's degree in a relevant business discipline or equivalent experience, or applicable combination. A Bachelor's Degree in finance or accounting is common experience in Billing Specialist resumes, since most employers require candidates to have college studies. Summary : Friendly, hardworking, loyal, and dedicated individual ready to succeed in any given environment.Get along well with others. Degree in Healthcare Administration, Business or related field is preferred, 1-2 years of healthcare billing experience Centralized Operations Billing, Cash Collections, Denials, Disputes, Follow-up, and Appeals, Extensive knowledge on critical business processes, primarily Billing, Collections, Dispute and Denial Management for different line of businesses (Medicare, Medicaid, Managed Care, etc), Working knowledge of critical systems such as ACE, VI Web, On Demand, PBAR, MedAssets, Epremis and workflow, Strong computer skills, and intermediate skill level in Microsoft Office applications (Word and Excel) is required, Medical billing and claims experience with an understanding of healthcare reimbursement processes, Working knowledge of Electronic billing, Hardcopy billing, UB-04s, ICD-9 codes, and CPT codes, Maximize the cash collection from customers and ensure that all customers pay within the agreed payment terms, Provide excellent service to our customers and sales and finance teams on all matters relating to Credit Control and manager the full order to cash process ensuring that where queries are raised by our customers that they are dealt with accurately and in a timely manner, Communicate effectively with the Business Unit Managers and Head of Finance as to the status of their outstanding debts, Provide meaningful financial information and reporting on debts as and when required, Reconcile customer accounts as required to ensure integrity of financial data and working with the billing team to ensure accounts are maintained in good order at all times, Run account statements from PeopleSoft Financials each month or as required, Utilise query logging process and track queries through to completion, Achieve agreed DSO and cash collection targets, minimize the bad debt provision or other KPIs as communicated by your manager from time to time, Decide the most appropriate debt collection techniques, Adhere to all legal and best practice requirements, Higher diploma or degree holder in Accounting, Finance/Economics or equivalent, Good command on written and spoken in English, Cantonese and Mandarin, A minimum of 2 years’ experience in a similar role, Good knowledge of Microsoft Excel and Word, Good organization and time management skills, Good understanding of local compliance relate to collections, Experience of using PeopleSoft or other ERP system is an advantage, Experience of publishing, conferences, or business research industries preferable but not essential, 1 Years experience in this position or related field is preferred, Establish and maintain communication with Business Office Managers, Regional Directors of Business Office Services and others responsible for payment of resident care services; Ensure all are kept current regarding account status, Act as a resource and subject matter expert to assist in claims resolution, Assist manager with monitoring key performance indicators, Assist with training of new and existing staff, Follow up and collect on outstanding claims, Responsible for reviewing and resolving aged accounts receivable, Responsible for submission of reports as required, Remain abreast of payer specific billing and collecting guidelines, Maintain current and accurate computer data, Attend meeting and in-service training sessions, as appropriate, Adheres to facility policies and procedures, Must be computer literate, excellent working knowledge of all pertinent software, Reviews bills for accurate billing codes, charges and insures an organized approach to timely billing, Self Pay invoicing and collection follow up and resolution as needed, Works follow-up reports and daily communication efficiently to meet department benchmarks, Maintains the accounts receivable aging days at departmental benchmarks, 40%Applies daily cash receipts to client accounts and balances batch totals to bank deposit, 40%Performs log reconciliations accurately and efficiently within strict time deadlines, 10%Processes weekly and monthly billing and prepares invoices for distribution, 10%Initiates credit requests for discrepant invoices, Responsible for ledger of customers deemed, high priority and strategic in nature, along with more complex and Key account customers, Collect overdue balances in timely manner ensuring queries resolved in prompt manner, Identifying process issues and undertaking reviews and suggesting potential improvements to ensure ultimate debt in minimal, Account management of defined customer accounts, ensuring regular interaction with customers and Commercial managers, Acting as first point of contact for assigned customers via phone / email / other methods of communication in relation to specific credit control issues/queries, Provide a prompt, efficient and courteous service at all times, Work with minimal supervision on collection of overdue accounts, Regular customer contact – including proactive chasing of debt to highlight any potential issues which may lead to non-payment via email, phone, fax etc, Maintain accurate and up to date customer details and account records, Makes adjustments, handles queries and resolves problems within company guidelines and policies, Follow-up activities as required, including – issuing copy documents, completing query logging in SAP, updating system to log the queries and nature of query along with any actions, Ascertain / log and progress queries in relation to relevant PPG departments (eg. 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