2 jobs found

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...

About the role:                                                        The Audit and Coding Specialist (“Audit and Coding Specialist”) is an integral member of Community Reach Center’s Quality Improvement (“QI”) Division. The Audit and Coding Specialist is responsible for managing all aspects of assigned projects, reviewing compliance standards to maintain quality assurance functions, and support risk management activities for the agency. Additionally, the Audit and Coding Specialist will have other duties and responsibilities as determined from time to time by the Utilization Manager. Essential Functions:  Designs and implements internal compliance audits, regularly monitoring accuracy and adherence to documentation requirements in collaboration with Utilization Manager to support continuous quality improvement and compliance as identified in the Quality Management Plan (QMP). Conducts audits as determined by the Manager or Director. Oversees...