Medical Billing / AR Specialist

Utter Solution is a reputable healthcare technology company specializing in providing innovative solutions for medical billing and revenue cycle management. We are committed to assisting healthcare providers in optimizing their financial operations and ensuring timely reimbursement for services rendered.

Responsibilities:

Review and prepare accurate insurance claims for submission to various payers.
Verify patient insurance coverage, benefits, and eligibility.
Ensure proper coding (CPT, ICD-10, HCPCS) and documentation for claims accuracy.
Submit claims electronically or by paper according to payer requirements.
Post payments received from insurance companies and patients into the billing system.
Reconcile payments against billed amounts to identify discrepancies.
Investigate and resolve any discrepancies in payments, adjustments, or denials.
Monitor and follow up on unpaid or denied claims to ensure timely resolution.
Contact insurance companies to inquire about claim status and facilitate payment.
Review aging reports regularly to prioritize and address delinquent accounts.
Initiate appeals for denied or underpaid claims and track the appeal process.
Generate patient statements and invoices for outstanding balances.
Work with patients to establish payment plans or arrangements.
Provide clear and compassionate communication regarding billing
Maintain accurate and organized records of all billing and collection activities.
Generate reports on accounts receivable status, aging trends, and collection efforts.
Prepare regular updates and summaries for management review.
Ensure compliance with HIPAA regulations and other billing guidelines.
Stay informed about changes in billing regulations and payer policies.
Implement best practices to maximize reimbursement and minimize compliance risks

Requirements:

Proven experience as an Accounts Receivable Specialist in medical billing or a related field.
In-depth knowledge of medical terminology, billing codes (CPT, ICD-10, HCPCS), and insurance claims processes.