Job DescriptionApply Now
Accounts Receivable AssociateJob ID 6020452 Date posted 10/18/2017
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Each Associate A/R will be focused on one or more of the following areas:
Responsible for the accurate pre-billing review, billing, follow up, and cash posting of charges within their assigned functional area.
- Admissions and Census review
- Triple Check Claim Validation
- Billing for all business lines
- 3rd Party Follow Up
- Private Pay Follow Up
- Cash and Denials posting
- Credit Balance and Refund resolution
- Resident Final Billing
- Customer Service-A/R Help Desk
- Month-end Close
- Translates internal charge files to appropriate billing formats for electronic and manual claims submission to third party and private payers.
- Performs follow-up and collections of accounts with outstanding balances. Adheres to department guidance on account documentation notes structure and content to provide all stakeholders with actions taken and next steps for accounts receivable management.
- Initiates appeals, corrected claims submissions, or submits medical records in response to payer requests for information or denied claims.
- Post contractual allowances, write-offs and payments against appropriate claim/line item using the Explanation of Benefits (EOB) or Remittance Advice.
- Post rejection and denial transaction codes and descriptions using the Explanation of Benefits (EOB) or Remittance Advice.
- Identifies and reports underpayments using payer contracts and other tools available for research.
- Proactively works with payers and in-house resources to identify and resolve issues that hinder optimal and correct account payment.
- Researches unapplied cash and credit balances utilizing appropriate payment and write-off codes.
- Ability to multi-task, prioritize needs to meet required timelines.
- Analytical and problem-solving skills.
- Knowledge of billing, collections, and cash posting processes in a health care provider environment.
- Medicare, Medicaid and Managed Care experience a plus.
- Experience working with CPT and ICD-10.
- Knowledge of medical terminology.
- Knowledge of Federal, State and third party electronic claims submission, denials and reimbursement practices.
- Experience working with CMS1500 and UB04 claim forms.
- Knowledge of Vision or other medical practice management systems.
- Proficient knowledge of Microsoft Office including Excel, Word and Outlook.
EDUCATION and/or EXPERIENCE:
- High School Diploma or equivalent is required.
- At least one of the following is required:
- Minimum two (2) years healthcare accounts receivable experience in billing, collections, cash posting or other healthcare revenue cycle related experience.
- Graduation from an accredited two-year college with major coursework in Accounting, Finance, Business Administration, Healthcare Finance/Administration or related field of study.
- Current Certified Revenue Cycle Specialist (CRCS-I) from the American Association of Healthcare Administrative Management (AAHAM) is preferred.