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 patient's 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:
(1) At least 2 years of college coursework or experience
(2) Knowledge in Healthcare Operations or Revenue Cycle Components is required (Any of the following: Account Receivables and/or Denial Management )
(3) Experience in using Contact Center phone system such as NICE and/or Genesys is an advantage
Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply.
Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law.
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