Full Time
Allergy Partners PLLC
Remote (Asheville, NC, USA)
POSITION: RCM AR Specialist
RESPONSIBLE TO: RCM Supervisor, AR Collections
JOB SUMMARY: Follows up on Claim Denials and overdue insurance balances using Explanation of Benefits (EOB) documents and reports. RCM AR Specialist are assigned specific book of business based on Financial Class and Payers. Work to support the field related to claim denials.
RESPONSIBILITIES INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWING:
Daily Duties
Follows up on denied claims and no response within a timely manner.
Submits appeals related to contract rate variances with a discrepancy in allowed amounts; notifies Supervisor of payers for which this is a consistent problem.
Submit Medical Records when requested by the payer for claims processing determination.
Monitor and review Payer correspondence from the lockbox and faxes.
Monitor, review, and respond to Hub (field) communication inquiries within the 48-hour requirement.
Account Follow-Up
Using data from the...
