AR Collections Associate

About the role

The AR Collections Associate at The MENTOR Network is responsible for managing claims denials, ensuring timely and accurate claim submissions, and maintaining internal controls. The role requires excellent communication, organizational, and analytical skills.

Responsibilities

• Reviews and works denials in workflow system daily
• Works denials in payer portal and/or clearinghouse portal daily
• Reviews and works in DWF for tasks with follow-up dates that are set to expire on that day
• Updates DWF with clear concise notes as claims are worked
• Notifies Field on denials that require their attention
• Notifies biller when claims can be electronically rebilled
• Sends out paper or complete web portal billing once any necessary corrections have been made
• Communicates with Field Finance and SSC Management on issues with collections
• Works credit balances on the aging and overpayment account and follow the credit balance procedure for resolution
• Completes necessary forms and provides appropriate support for: Refunds, Cash move, Sales adjustments, Transfer of Liability
• Maintains an effective control environment under SOX 404 for the accounting operations he or she oversees
• Performs system testing

Requirements

• High school diploma or equivalent
• Associates or Bachelor's degree in a Finance related field preferred
• No experience in Medical Collections necessary

Skills

• Self-motivated and detail oriented
• Excellent communication skills
• Highly organized with ability to multi-task
• Analytical skills and the ability to collect information from different sources
• Effectively uses Microsoft Office (Word, Excel, PowerPoint, Outlook, etc.)

Benefits

The MENTOR Network offers a comprehensive benefits package including health insurance, retirement plans, and paid time off.

Pay

Compensation is commensurate with experience.

Schedule

Regular business hours apply.

Qualifications

Must be able to perform the essential job functions either unaided or with assistance of a reasonable accommodation to be determined on a case by case basis via the interactive process.

Sevita

Sevita is a leading provider of home and community-based specialized health care. We believe that everyone deserves to live a full, more independent life. We provide people with quality services and individualized supports that lead to growth and independence, regardless of the physical, intellectual, or behavioral challenges they face.