Hospital Claims AR Specialist

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Written by AI from the job title and company, not by CorroHealth, so some details may not match this job. The employer's own page has the real description.

Job Overview

The Hospital Claims AR Specialist at CorroHealth plays a critical role in managing and resolving accounts receivable (AR) for hospital claims. The specialist is responsible for reviewing claims, identifying discrepancies, interacting with insurance companies, and ensuring prompt and accurate payment. This position requires a strong understanding of medical billing processes and excellent analytical skills to handle various tasks effectively, contributing to the overall financial health of the healthcare facility.

Job Responsibilities

• Review and analyze hospital claims to identify discrepancies, underpayments, or denials.
• Follow up on outstanding claims and resolve outstanding patient accounts.
• Communicate effectively with insurance companies to address claim issues and disputes.
• Maintain detailed records of claims, payments, and adjustments in the medical billing system.
• Work closely with medical staff and financial departments to ensure proper documentation of services rendered.
• Generate regular reports on accounts receivable status and provide updates to management.
• Ensure compliance with all relevant regulations and standards related to claims processing.

Qualifications

• Associate's degree in healthcare administration, business administration, or a related field; Bachelor's degree preferred.
• A minimum of 2 years of experience in hospital billing, claims management, or a related role.
• Strong knowledge of medical terminology, billing codes (CPT, ICD-10), and insurance processes.
• Proficiency in using electronic health record (EHR) systems and billing software.
• Excellent analytical, problem-solving, and organizational skills.
• Strong communication skills, both written and verbal, with the ability to interact professionally with diverse stakeholders.
• Attention to detail and a strong commitment to maintaining confidentiality of patient information.

Technologies & Tools

The Hospital Claims AR Specialist will utilize various technologies and tools to efficiently manage and process claims. This includes electronic health record (EHR) systems for patient information management, billing software for tracking and processing claims, and analytical tools to generate financial reports. Familiarity with the latest healthcare technologies, including cloud-based billing solutions, is essential to maintaining effectiveness in this role.

Ideal Candidates

Ideal candidates for the Hospital Claims AR Specialist position at CorroHealth are detail-oriented professionals who possess strong analytical and communication skills. They should demonstrate a keen understanding of the healthcare billing landscape and display a commitment to excellence and integrity in patient financial interactions. Candidates should be proactive in identifying issues and solutions, adaptable to fast-paced environments, and have a collaborative spirit to work effectively within teams and across departments.