Self pay representative vs accounts receivable specialist

Differences between self pay representative and accounts receivable specialist duties and responsibilities

Self pay representative example responsibilities.

• Contact patients to coordinate payment arrangements or update their demographics from return mail.
• Work 90-120 days, as well as older A/R.
• Bill accounts to various commercial insurances or Medicaid.
• Review EOB to assure that correct adjustments are satisfied.
• Process and follow up on appeals to insurance companies.
• Process all subpoena and attorney requests using extensive knowledge of HIPAA requirements.
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Accounts receivable specialist example responsibilities.

• Manage profitable accounts receivable ledgers for existing and new clientele maintaining accuracy of monies enter to appropriate relate account.
• Perform accounts reconciliations, complex invoice research, statement reconciliations, complex invoice research, statement reconciliation and journal entries.
• Follow company's standard operating procedures in cooperation with Medicare, Medicaid and private insurance providers to resolve billing issues.
• Cash and credit allocation of customer payments in ROSS ERP system.
• Prepare PowerPoint presentations, word documents, letters and spreadsheets while meeting deadlines.
• Reconcile direct billing accounts and adjust product pricing utilizing JD Edwards EnterpriseONE ERP system.
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