Description:
Position Summary:
The Accounts Receivable Specialist I is responsible for managing and processing billing, and collections for Medicaid, private insurance, other third-party payers, and self-pay accounts. The A/R Specialist I is also responsible for accurately applying payments, reconciling accounts, and ensuring timely payment posting. An understanding of medical billing, claims and remittance processing, and the associated software applications is preferred.
M-F in office position.
PAY: $25-$26/hr.
Essential Responsibilities:
- Generate and submit claims and invoices to insurers, third-party payers, and clients, ensuring accuracy and completeness of submissions.
- Verify and maintain data related to client demographics, insurance coverage, benefits, and authorizations. Maintain up-to-date information on payers’ billing requirements and covered services.
- Research and resolve claim denials and other issues impeding reimbursement for billed services. Resolve post-payment inquiries, audits, refunds, and recoupment requests as needed.
- Develop and monitor cash flow projections for all assigned areas of responsibility.
- Maintain effective communications within the Agency, clients, third-party payers, and other external organizations to ensure that billing is accurate, timely, and well-documented.
- Report resolved and unresolved charges, status and expected turnaround times for outstanding issues, and projected incomes and adjustments. Report on cash receipts and GL activities as appropriate.
- Collect and retain documentation related to A/R activities as appropriate.
- Prioritize responsibilities and work independently with minimal supervision, in electronic and paper formats.
- Maintain patient confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA).
- Comply with all agency policies.
- Cash management: Receive cash/check/digital payments and maintain assets securely. Prepare cash receipts log and deposit listings. Make bank deposits as needed.
- Assist the Revenue Cycle Manager with special projects
- Perform other duties as required
Requirements:
Qualifications:
Education and Experience
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Associates Degree and 1 year experience with accounts receivable and/or benefits verification in a medical or developmental services setting preferred.
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High school diploma or GED
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3 years of experience in Accounts Receivable with an emphasis on healthcare billing,
Skills and Abilities
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Proficiency with software applications including, but not limited to, Microsoft Office Suite and database systems. Experience with Excel is highly weighted.
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Proven understanding of accounting cycle of accounts receivable, from generation and recording of revenues to collections and cash projections.
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Understanding of medical billing and claims including but not limited to CPT, HCPCS, ICD-10, CMS-1500, and EDI transmissions is preferred.
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Experience with electronic medical records (EMR) and medical billing software is preferred.
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High attention to detail and an analytical mindset.
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Ability to perform assigned functions with a high degree of accuracy and with minimal supervision.
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Familiarity with government benefits programs (Medicaid/Medicare, Social Security, etc.) is preferred.
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Ability to work independently, and as part of a team.
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This position requires working in the finance office.
