Spec Customer Service Ops Accounts Receivable

Position Summary

The Accounts Receivable Specialist is responsible for processing insurance claims and billing. They will work

within the scope of responsibilities as dictated below with guidance and support from AR & Billing leadership teams.

Essential Functions

 Processes claims: investigates insurance claims; properly resolves by follow-up & disposition.

 Verifies patient eligibility with secondary insurance company when necessary.

 Bills supplemental insurances including all Medicaid states on paper and online.

 Mails all paper claims.

 Manages billing queue as assigned in the appropriate system. Investigates and updates the system with all

information received from secondary insurance companies.

 Ensures that all information given by representatives is accurate by cross referencing with the patients account,

followed by using honest judgement in any changes that may need to be made.

 Processes denials & rejections for re-submission (billing) in accordance with company policy, regulations, or

third party policy.

 Updates patient files for insurance information, Medicare status, and other changes as necessary or required.

 Keeps email inbox requests up to date; checks for new messages on an hourly basis.

 Complies with HIPAA rules, appropriately safeguarding PHI or other private & confidential information.

 Maintains accurate and detailed notes in the company system.

 Adapts quickly to frequent process changes and improvements.

 Is reliable, engaged, and provides feedback to improve processes and policies.

 Attends all department, team, and weekly company meetings as required.

 Appropriately routes incoming calls when necessary.

 Meets company quality standards.

 Embraces And Exemplifies Cardinal Health Core Values

Invites Curiosity, Builds Partnerships, Inspires Commitment, Develops Self and Others

Qualifications

• At least 2 years of college coursework or experience
• Knowledge in Healthcare Operations or Revenue Cycle Components is required (Any of the following: Account Receivables and/or Denial Management )
• Experience in using Contact Center phone system such as NICE and/or Genesys is an advantage