Accounts Receivable Specialist (Healthcare and Legal Billing)
Key Responsibilities:
Communicate and collaborate with PCM/CSR to request payment and update payment status.
Follow up on unpaid medical insurance claims within the standard billing cycle timeframe.
Review and appeal denied or unpaid medical claims.
Generate and review statements for legal services related to healthcare billing.
Call patients regarding all non-responsive attorneys.
Schedule follow-up reminders for assigned attorneys.
Document actions in the practice management system.
Collaborate with medical billing and coding staff to resolve discrepancies and ensure accurate billing records.
Prepare reports and analyze accounts receivable status for management review.
Answer all attorney/patient inquiries pertaining to assigned accounts.
Carry out collection and reporting activities according to specific deadlines.
Collaborate with teams and the Director to discuss account statuses, challenges, and collection strategies periodically.
Maintain confidentiality of patient and legal information in accordance with HIPAA regulations and ethical standards.
Job Requirements:
Proven experience as a Medical Accounts Receivable Specialist or Legal Accounts Receivable Specialist, preferably in a healthcare setting.
Familiarity with medical and legal billing software (e.g., Nextgen) and proficiency in modern IT software (e.g., Microsoft Office Suite, Excel, PowerPoint, Salesforce, Word, etc.).Strong understanding of medical billing processes, including CPT and ICD-10 coding, and legal billing practices.
Exceptional communication and interpersonal skills, with the ability to interact professionally with healthcare providers, legal professionals, and patients.
Excellent attention to detail and the ability to maintain accuracy in billing records.
Customer service skills for interacting with attorneys and patients regarding payments.
Ability to work well in a team environment, prioritize tasks, and multitask efficiently.
Strong organizational and time-management skills.
Problem-solving skills to research and resolve discrepancies and collections.
A calm manner and patience when working with patients and attorneys.
Knowledge of legal terminology and procedures related to healthcare billing is preferred.
Understanding the collection process, including when to call attorneys, follow up, confirm balances, and obtain proof of payment from attorneys.
Maintain patient confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA).
Preferred Qualifications:
A minimum of two (2) years of experience in a healthcare billing/accounts receivable environment or related field, or any combination of education, training, or experience in a healthcare business office environment.
