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Accounts Receivable Representative; Full-Time; Days buy in US, Free Classifieds Ads

Responsibilities:

  • Develop and maintain good working relationships with contracted payers assigned and assist with review of potential contracts as directed by the immediate supervisor.
  • Process and send 837 claims or paper claims as necessary for assigned payers.
  • Provide or arrange training for Accounts Receivable staff on the EMR TIER database to assure accurate billing.
  • Assign payers and plans in the EMR and train or arrange training for staff.
  • Review Financial Intakes and resolve any questions or issues with benefits to assure accurate billing.
  • Assist in obtaining pre-authorizations of service when appropriate
  • As necessary, access approved websites and software packages to verify current eligibility prior to the scheduled appointment when possible to confirm coverage.
  • Scan and attach verification of coverage to client record in the agency EMR.
  • Update client financial information to reflect current coverage to facilitate accurate billing in the EMR.
  • Review any outstanding issues from the 837 to determine appropriate steps to correct and release for rebill.
  • Notify immediate supervisor when unable to correct the error.
  • Review pending charge slips to determine and resolve issues with billing and work with staff as necessary to resolve issues, correct, and release for rebilling.
  • Review all 835 rejections or reductions in expected payment for assigned payers that have not been resolved and either make necessary corrections in agency EMR to facilitate rebills for waterfall to next payer as appropriate, or make adjustments to client receivable account(s).
  • Process payment, miscellaneous charges, and adjustment to accounts as necessary.
  • Process waterfall to the next payer appropriate for unpaid balances.
  • When a client is identified to have Medicaid spend-down monitor, at least weekly, the spend-down status of a client using the available web based software.
  • Update the client financial record to facilitate timely and proper billing of Medicaid.
  • Scan and attach the Medicaid benefit information sheet and to the EMR.
  • Release any pending charge slips once the spend-down is met and make adjustments or waterfall those that fall outside the eligibility dates.
  • Assure that all open claims that are over 30 days old have been reviewed and follow-up with the payers has taken place; to assist with control of receivables.
  • Prepare reports Accounts Receivable Supervisor for assigned payers to assure adequate control of receivables and recommendations for write-off or credit adjustments.
  • Provide a monthly overview and analysis of outstanding receivables to the Accounts Receivable Supervisor for payers assigned.
  • Participate in ongoing trainings and/or meetings to stay abreast of changes to include the TIER database in order to provide adequate training to AR staff and stay current on the policies/procedures and payers; including regulations for licensure/certification standards and authorizations requirements for billing.
  • Operate a variety of office equipment including copier/printers, scanners, and a fax.
  • Maintain a well-organized and orderly work area to assist staff working all shifts.
  • Use a teamwork approach when working through tasks with other staff.
  • Promote the recovery model of treatment by showing respect and courtesy when interacting with consumers to provide a safe and welcoming environment.
  • Maintain and protect confidentiality and security of all organizational information gained in the course of performing job responsibilities including, but not limited to, financial and client information.
  • Perform other duties as assigned.

Qualifications

  • Position requires a high school diploma or GED and a minimum of three (3) years experience working in the accounting field.
  • Experience in medical billing using an electronic billing system is required (i. e., claim submission, follow-up, entering payments and adjustments to accounts, etc.).
  • Position requires a good working knowledge of CPT coding in behavioral healthcare and/or primary healthcare. Good keyboarding experience involving data entry into a variety of databases, including computerized accounts receivable database, is required.
  • Intermediate skills using Microsoft Office Outlook, Word and Excel required. General knowledge of standard office procedures and use of office equipment required (i. e., filing, basic word processing, and ability to operate copier, fax, and scanning equipment).
  • Excellent interpersonal and organizational skills, attention to detail, and discretion with HIPAA and other confidential information required.
  • Must be able to work independently and manage several tasks at the same time.
  • Must demonstrate the ability to communicate clearly and professionally with a diverse group of people and maintain appropriate working relationships exercising good judgment and discretion.
  • Satisfactory completion of Chestnut s background checking process.

This full-time position includes an excellent compensation and benefits package including health, dental, life, and disability insurance, a retirement savings plan with company match, generous paid time off benefits, and more.

For immediate consideration, please see us at www. chestnut. org/employment

For additional information and inquiries text "Chestnut" to 97211

Chestnut welcomes applications from qualified individuals with recovery experience.

EOE Minorities/Females/Vets/Disabled


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