Job Openings >> Billing- AR Specialist
Billing- AR Specialist
Summary
Title:Billing- AR Specialist
ID:1574
Schedule:Full time
Location:Corporate
FSL Location:N/A
Description
STATEMENT OF WORK:
Under the direct supervision of the Accounts Receivable Manager, the Accounts Receivable Specialist II (Senior Patient Account Rep) will be responsible for processing claims electronically and manually to various funding sources which include Medicare, Medicaid/ AHCCCS and commercial insurance payers.  It is expected that all denied claims will be worked promptly with the goal of collecting 95 – 100% of all monies owed to the Foundation while strictly adhering to all HIPAA guidelines as well as CMS fraud and abuse requirements.  

 MUST HAVE ADVANCED KNOWLEDGE OF MEDICARE A CLAIMS BILLING AND FOLLOW-UP. REQUIRES A MINIMUM OF 3 YEARS MEDCARE HOME HEALTH PPS CLAIMS BILLING AND FOLLOW-UP EXPERIENCE. 5 YEARS PREFERRED.

ESSENTIAL DUTIES AND RESPONSIBILITIES:
  • Responsible for the preparation, submission, follow up and collections of all claims assigned
  • Preparation of “clean claims” for initial submission
  • Running daily billing and editing reports to ensure all timely filing guidelines are met
  • Cash posting, reconciliation of A/R to the General Ledger, reporting of monthly revenue, and verification of insurance eligibility and benefits.                                                          
  • Post manual and/or electronic EOB's and Remittance Advices and reconcile with the general ledger
  • Work denied and RTP claims and report to Billing Manager weekly regarding status
  • Work share with other specialists to provide backup for PTO and other absences
  • Assist with providing documentation and spreadsheets or other reports to auditors
  • Copy and file or scan billing related documents
  • Prepare miscellaneous reports and schedules as requested
  • Assist the clinical staff with billing issues, training, coding and authorizations
  • Attendance at weekly meetings with clinical staff for the purpose of discussing and resolving any current or long-standing billing issues
  • Monthly reconciliation of A/R accounts to the General Ledger
  • Other duties as assigned                                                                                                                     
KNOWLEDGE, SKILLS AND ABILITIES:
Minimum Required:
  • Advanced knowledge of medical billing practices including Medicare, Medicaid and Commercial insurances obtained by hands on experience
  • Knowledge of Electronic Billing, ERA’s and EFT’s via online portals or clearing house
  • Advanced knowledge of McKesson Horizon Home Health and Hospice and/or CIS software for billing and follow-up purposes
  • Must understand RAs and EOBs and be able to apply payments, adjustments, and write-offs correctly
  • Must have excellent interpersonal skills and the ability to deal with clients/patients in a professional and knowledgeable manner.
  • Ability to communicate clearly and concisely both verbally and in writing including the use of proper grammar, spelling, punctuation; ability to speak with patients, payers and co-workers in a helpful and customer service oriented manner
  • Ability to perform basic mathematical calculations and balance and reconcile figures
  • Ability to establish and maintain long-term patient, payer and inter-departmental/co-worker relationships, building trust and respect by consistently meeting expectations
  • Basic skill in the utilization of Microsoft Office including Excel and Word
  • Must not have any restrictions for physical work for which reasonable accommodation cannot be mad

Preferred:

  • McKesson Home Health and Hospice Software experience
  • College coursework in business, accounting or related disciplines
  • Proficiency with Excel, Word and Outlook
                                                                                             
WORK EXPERIENCE AND EDUCATION:
 Minimum Required:
  • 5 years medical billing experience in a medical setting such as a physicians’ office or medical billing office
  • 3 years Medicare Home Health PPS billing and follow-up experience
  • High School diploma or GED
                                                                                                                               
 Preferred:
  • 5 years medical billing experience in a home health agency setting
  • College coursework in business, accounting or related disciplines
Position works in a quiet, climate-controlled office environment.

SPECIAL NOTES:

GREAT Benefits
: Medical, Dental, Vision, HSA, FSA, Life, 403(b), EAP, Wellness Program, 10 paid Holidays, and PTO

***Military Personnel Encouraged to Apply.***
FSL is an Equal Opportunity /Affirmative Action Employer, M/F/D/V. DFWP. FSL believes that diversity leads to strength.
Proud to be a Mature Worker Friendly Certified Employer through the Governor's Council on Aging.

This opening is closed and is no longer accepting applications
Powered by ApplicantStack