Riverside Healthcare
Kankakee, IL
Overview:
The responsibilities of an Accounts Receivable Specialist is to pursue reimbursement of services rendered and achieve accounts receivable resolution. specific tasks include resolving insurance carrier denials, appealing claims, contacting carriers on open accounts and responding to insurance carrier correspondence and/or inquiries. Essential Duties Consistently meet or exceed current productivity and quality standards in a timely resolution of all claim edits, reporting of candidates for bill, outbound complaint claim submission, clinical documentation requirements and any other communication required (verbal or written) regarding claims ensuring timely filing of claims and clean, complete and accurate claims Timely follow-up on denials and appeals, including root cause analysis to reduce/prevent future denials while working to overturn denials for payment resolution. Compliant follow-up correspondence to third party payers regarding outstanding accounts...
