Accounts Receivable specialist

About the Role:

The Accounts Receivable Specialist (“Specialist”) is an integral member of Community Reach Center’s Finance (“Division”) Division. The Specialist is responsible complete billing process including timely and accurate review of the billing and reporting including data analysis and follow-up and records payments to Consumer/Patient accounts and maintains accounts receivable records. Additionally, the Specialist will have other duties and responsibilities as determined from time to time by the Accounts Receivable Manager.

Essential Functions: 

• Conducts agency business and engages both internal and external customers in a professional and collaborative manner.
• Accurately post payments to account including apply notations to account for communication.
• Responsible for follow-up, appeals and denials of claims.
• Complete insurance eligibility and benefit verification.
• Regularly work aging and unbilled reports for payment.
• Reviews all intake and funding source information for both completeness and accuracy and provides necessary follow-up with clinical team.
• Review claims to ensure accuracy.
• Understanding of Payer Specific guidelines and billing rules.
• Statement processing.
• Processing all returned mail.
• Process credit cards payments received by mail.
• Process consumer accounts for outside collections.
• Scan all financial documentation to software system.
• Complete collections of past due fees from consumers
• Data enters financial forms and income information with minimal errors.
• Update patient demographics and insurance information.
• Answer internal and external calls and questions regarding billing inquires.
• Request, follow-up and enter prior authorizations.
• Function as a team member, giving and receiving feedback, using conflict resolution and problem-solving skills.
• Participate in Team Meetings.
• Coordinate workload with manager, seeking appropriate support as needed in reporting problems with they occur.
• Responsible for notifying consumer’s providers of receipt of external documentation when appropriate.
• Requests records for consumers of Community Reach Center and its affiliates when appropriate.
• Using medical retention relevant information and individual judgment to determine whether events or processes comply with laws, regulations, and/or standards.

Qualifications:

• High School Diploma required
• 1+ years of experience in a similar role is required.
• A practical knowledge of Medicare, Medicaid and Commercial Payers regulations, medical terminology, CPT coding, ICD-9 and HCPCS as related to health care billing.
• The ability to analyze clinical information as it pertains to billing regulations.
• Communication, organization, time management and clinical skills.
• Experience working with and protecting confidential information.

Schedule: 

M-F 8-5

Pay Information:

Starting Pay Range: $24.04-$27.00 per hour

Eligible for $250/month Bilingual Stipend

Accepting Applications on an on-going basis