Accounts Receivable Specialist

Duties and Responsibilities

Duties and Responsibilities will include, but may not be limited to:

• Liaise between facilities (clients) and various third-party insurance carriers and clearinghouses; identify and resolve systematic issues in an accurate and timely manner 
• Evaluate payments/denials received and ensure claims are escalated with respective insurance companies correctly
• Collect and submit data to identify patterns of intervention that result in desired patient outcomes
• Provide feedback to management based on research and calls to payers to establish payer behavior trends
• Employ broad knowledge of insurance plans, medical terminology, billing procedures, government regs., & medical codes
• Observe confidentiality of patient information and HIPAA regulations 
• Deal directly with highly sensitive accounts and exercise good judgment in solving complex situations
• Review A/R daily to ensure reimbursement goals are maintained and achieved 
• Continuously looks for areas to maximize claim reimbursements 
• Identify performance improvement opportunities and participate in quality improvement endeavors
• Cooperate and communicate effectively with peers, and facilities; follow appropriate communication channels through organizational structure 
• Adapt to changes in a positive manner, giving constructive feedback; work as an effective team member, collaborating with other disciplines in the provision of care 

Minimum Requirements

KNOWLEDGE

• High school diploma required; college degree preferred 
• Two years’ experience in medical billing OR hospital billing, OR two years’ experience working directly with substance abuse and/or mental health treatment centers
• Working knowledge of insurance companies and policies

SOFT-SKILLS

• Familiar with EMR (electronic medical records) systems such as (Kipu, Best Notes, Alleva)
• Proficient with MS Office Suite (spreadsheets, word processing, email, etc.) 
• Enjoys working in a collaborative environment 
• Works with a sense of duty – values strong attention to detail 
• Works with a sense of urgency as these documents are often time-sensitive 
• Ability to multitask, prioritize, and remain organized 
• Excellent interpersonal skills and strong communication 
• A desire to help people in a meaningful way