Specialist, Accounts Receivable

About the role

The Accounts Receivable Specialist is responsible for managing outstanding accounts receivable, resolving balances, and communicating with various parties to ensure prompt payment. This includes following up on outstanding accounts, identifying and correcting payment posting errors, and reporting payment trends to supervisors.

Responsibilities

• Manage outstanding accounts receivable, including resubmitting claims and supporting prompt payment
• Follow up on outstanding accounts, focusing on maintaining aged receivables within 90 days
• Identify and correct payment posting errors and communicate these to staff
• Make necessary corrections in the billing system and research and resolve claims rejected by payers
• Communicate with billing and front office staff regarding billing requirements
• Answer patient and facility questions about account balance and payment status
• Identify and communicate payment trends to supervisor, related to payers, CPT codes, diagnosis codes, etc.
• Research outstanding credit balances and prepare requests for refunds
• Research and recommend accounts for bad debt write-off
• Aid in developing strategies to reach goals and maintain high productivity
• Provide training and monitor progress of team members
• Create reports to update the organization on Billing Department progress

Requirements

• High school degree or equivalent required
• 1 - 3 years medical billing/claims experience
• Knowledge of EOBs, EFTs, and ERAs
• Experience with CPT codes and ICD 10 coding preferred
• Experience with electronic medical records preferred
• FQHC billing and payment posting experience preferred, but will train the right candidate
• Medent experience preferred
• Knowledge of Microsoft Office software
• Focus, self-direction, organization, and problem-solving abilities
• Accurate and precise attention to detail
• Excellent verbal and written communication skills

Qualifications

• Meet The Wright Center for Community Health and its affiliated entity The Wright Center for Graduate Medical Education EOS© People Analyzer Tool
• Buy in and experience working in the EOS® model (strongly preferred)
• Mission-oriented; represents the enterprise in a professional manner while demonstrating organizational pride