Dayton Physicians Network

Role Description Accounts Receivable Specialist follows up on outstanding balances with various insurance companies and/or patients with outstanding balances. - Upon completion of training, this position will be eligible to work from home coming into the office as needed. - Must live in the state of Ohio in order to work from home. Schedule - Monday - Friday, 8:00am to 4:30pm, eight hour shifts - No evenings, weekends or holidays! - Work/life balance schedules! Benefits - Full-time employees are eligible for health, dental and vision benefits - Company holidays and a flexible holiday! - Generous Paid Time Off (PTO) Package - Additional accrual increase after 1 year of service with Dayton Physicians! - 401K - Scrub Allotment - Yearly Bonus Program DPN Core Value Expectations - C OMPASSION: the patient is at the center of all we do - A CCOUNTABILITY: we hold ourselves accountable for our actions - R ESPECT: we show respect for others - E XCELLENCE with Innovation: we strive for excellence in all we do - S ERVICE through Collaboration: we provide service to our patients, team members and community. - Smile, make eye contact and greet with energy! - Restate what you are hearing. Listen patiently and compassionately to complaints. - Give full attention. Turn away from the computer screen and face the person you are conversing with. - Explain any potential delays in service and provide frequent updates. - Empathize (feel empathy for someone) Essential Duties and Responsibilities - Reviews all outstanding claims filed to designated payers and/or patient accounts for which payment or denial has not been received within 28 days of billing. - Utilizes reporting capabilities of practice management system to generate reports and data used in working claims in the various aging buckets. - Utilizes the capabilities of practice management system to correct and/or appeal as necessary. - Utilizes the designated payer websites for effective follow-up and claim rebills. - Utilizes the designated payer provider telephone centers for assistance in claim follow-up and collections. - Attend webinars as well as various teaching seminars sponsored by designated payers. - Receives from payment posting all zero pay and denied claims for research, correction and rebill, write-off, or transfer to patient responsibility. - Contacts patients with regard to any unpaid claims; maintains accurate documentation within the practice management system of actions taken to resolve outstanding claims. - Maintains compliance with FDCPA at all times. - Follow all health care privacy and safety rules and adheres to Dayton Physicians Core Values. - Other duties as assigned. Required Education and/or Experience - High School Diploma or GED. - At least two (2) years of previous experience working in a Medical Billing Office; 3-5 years medical billing experience is preferred. - Excellent oral and written communication skills. - Strong working knowledge of CPT, HCPCS, ICD-10 coding, Microsoft Office, including Word, Excel and Outlook. - Knowledge of claims processing in a managed care environment, commercial payer environment along with government payers. - Knowledge of the Fair Debt Collections Practice Act (FDCPA) and other legal policies regarding collecting debt from patients. - Experience with a Medical Practice Management system is preferred. General Skill Requirements - Excellent oral and written communication. - Working knowledge of Microsoft Office, including Word, Excel and Outlook. - Experience working with a Practice Management system. - Attendance and punctuality are essential requirements of this position to provide excellent customer service to both our internal and external stakeholders.