AP/AR Clerk

Title: AP/AR Clerk

Location: Lake Mary, FL

Duration: 6 Months

100% Onsite

Shift Time: 8:00am to 4:30pm

Job Summary:

In this role, you will handle and resolve all Insurance follow up and denial issues to ensure that company receives correct reimbursements from the insurance companies. The incumbent will serve as the liaison between insurance companies, patients and the departments to ensure the claims are processed and followed up to meet companies goals of Account Receivable Days, Aging Account percentages and Cash goals. They will also research and answer all questions and complaints, regarding patient responsibility balances and billing inquiries sent to them through the customer call center with the highest degree of courtesy and professionalism ;needs someone that would be able to work the process end to end if needed

Top Skills:

• Previous posting and tracking of payments and collection experience
• Researching payment discrepancies
• Proficient computer skills & someone that would be able to work the end to end process if needed after training.

Job Responsibilities:

• Research and resolve payment discrepancies.
• Review and manage the AR aging report and provide explanations of past due balances to management.
• Work aged accounts on assigned payers prioritizing accounts that are approaching timely filing denial.
• Identify issues or trends with accounts and provide suggestions for resolutions.
• Escalate exhausted appeals efforts for resolution with payer.
• Performs assigned Revenue Cycle duties as directed by the Revenue Cycle Supervisor.
• Able to submit a root cause analysis report.
• Prepare write off requests as needed for any uncollectable balances.
• Keeps supervisor informed of areas of concern and problems identified.
• Provide training to new and existing staff members as instructed by supervisor.
• Use and follow company procedures in training.
• Quality check work to ensure accuracy, efficiency and uniformity. Re-train staff as often as needed.
• Ensure staff complete all assigned tasks in a timely manner and that they have the resources and tools to perform their jobs. i.e. access to software. Advise supervisor immediately if they do not.
• Review/knowledge of contracts to determine correct reimbursement for each account.
• Analyze and document A/R problems and implement processes to enhance efficiencies.
• Documenting accurate and appropriate notes on corresponding systems as needed.
• Outgoing correspondence (internal or external) must be written in a clear, concise, and professional manner.
• Provide coverage as needed to include performing staff’s work during their absences as assigned by management. Assist in areas of needs as assigned by supervisor.
• Maintains positive and regular results-oriented communication with payer representatives.
• Navigate and works all payer websites. Provide support to staff as needed.
• Enroll in payer newsletters and advise manager of needs.
• Performs any other functions as requested by management.
• Initiate appeals to payers following the guidelines outlined for that payer. Note account and track appeal to resolution.
• Utilizes strong communication and customer service skills.
• Consistently practices good judgment and problem-solving skills when handling confidential information.
• Regular attendance and punctuality.
• Performs any other functions as requested by management.

Education:

• High school diploma or GED required
• Associate degree preferred
• Preferred years of experience - Level one representative 1 to 3, Level two representative 3 to 5 and Level three five or more.
• Excellent verbal and written communication skills, including ability to effectively communicate with internal and external customers.
• Excellent computer proficiency (MS Office – Word, Excel and Outlook)

Consultants Eligible Benefits Upon Waiting Period:

• Medical and Prescription Drug Plans
• Dental Plan
• Vision Plan
• Health Savings Account (for High Deductible Health Plans)
• Flexible Spending Accounts (Health, Limited Purpose, Dependent Care, Commuter Parking and Commuter Transit)
• Supplemental Life Insurance
• Short Term Disability (coverage varies by state)
• Long Term Disability
• Critical Illness, Hospital coverage, Accident Insurance
• MetLife Legal, MetLife ID Fraud, and MetLife Pet Insurance
• 401(k)

Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritional and branded generic medicines.

Working together, Abbott and Talent Solutions partner to deliver top talent for contingent roles at Abbott, building better and healthier lives. Abbott believes all employees are essential to creating life-changing breakthroughs, performing key duties to create life-changing breakthroughs.