CHMB has provided technology & business services to healthcare professionals for nearly twenty years. Its nationwide client base benefits from its 360+ Surround Services Methodology which brings the proven combination of people, process and technology to its clients and delivers exceptional client outcomes. CHMB's breadth of services ensures it supports its clients across all facets of the organization: administrative, clinical and technical.
We have an exciting new opportunity for an AR Specialist in our Irvine, CA office. The AR Specialist position is responsible for the overall recovery and management of accounts receivable as it relates to maximizing accounts receivable collections for CHMB clients. The position involves detailed research and follow-up on medical insurance claims and the careful preparation of appeals and responses to efficiently interact with insurance carriers and resolve the claim. The position supports the company’s overall Operations and Client Services by efficiently and effectively driving the accounts receivable process and showing results.
Duties & Responsibilities:
Strong customer service skills; answering client, patient and carrier calls; prompt return and follow up to all interactions; prompt response to requests for information
Timely management of unpaid claims as assigned, through the use of the client’s office manager; aging reports; correspondence; Clearinghouse and PM rejections; SharePoint
Effectively handle complex payer denials; responsible to ensure that secondary claims are sent and paid
Monitoring and reconciliation of claims to include:
Held vouchers
Unbilled vouchers
Denial trends
Patient balance report
Credits and refunds
Manage and track information requests to client.
Answer and resolve all incoming calls and requests in a timely manner.
Complies and enforces and policies and procedures
Achieve goals set forth by supervisor regarding error-free work, transactions, processes and compliance requirements; Specific goals include 1,400 accounts worked per month
Other duties as assigned
Experience/Training/Education:
High School Diploma or GED
Must have 3+ years in a Healthcare AR follow up role.
Knowledge/Skills/Abilities:
Technical: Extensive knowledge on use of email, search engine, Internet; ability to effectively use payer websites and Laserfiche; knowledge of Office 365 and use of Microsoft Products: Outlook, Word, Excel. Preferred experience with Microsoft: Access and PowerPoint, Crystal reports and various billing systems, such as NextGen, Pro and Allscripts.
We have an exciting new opportunity for an AR Specialist in our Irvine, CA office. The AR Specialist position is responsible for the overall recovery and management of accounts receivable as it relates to maximizing accounts receivable collections for CHMB clients. The position involves detailed research and follow-up on medical insurance claims and the careful preparation of appeals and responses to efficiently interact with insurance carriers and resolve the claim. The position supports the company’s overall Operations and Client Services by efficiently and effectively driving the accounts receivable process and showing results.
Duties & Responsibilities:
Strong customer service skills; answering client, patient and carrier calls; prompt return and follow up to all interactions; prompt response to requests for information
Timely management of unpaid claims as assigned, through the use of the client’s office manager; aging reports; correspondence; Clearinghouse and PM rejections; SharePoint
Effectively handle complex payer denials; responsible to ensure that secondary claims are sent and paid
Monitoring and reconciliation of claims to include:
Held vouchers
Unbilled vouchers
Denial trends
Patient balance report
Credits and refunds
Manage and track information requests to client.
Answer and resolve all incoming calls and requests in a timely manner.
Complies and enforces and policies and procedures
Achieve goals set forth by supervisor regarding error-free work, transactions, processes and compliance requirements; Specific goals include 1,400 accounts worked per month
Other duties as assigned
Experience/Training/Education:
High School Diploma or GED
Must have 3+ years in a Healthcare AR follow up role.
Knowledge/Skills/Abilities:
Technical: Extensive knowledge on use of email, search engine, Internet; ability to effectively use payer websites and Laserfiche; knowledge of Office 365 and use of Microsoft Products: Outlook, Word, Excel. Preferred experience with Microsoft: Access and PowerPoint, Crystal reports and various billing systems, such as NextGen, Pro and Allscripts.