Job Openings >> AR Specialist
AR Specialist
Summary
Title:AR Specialist
ID:1706
Schedule:Full time
Location:Corporate
FSL Location:Corporate (12thSt/Thomas)
Description

Under the direct supervision of the Accounts Receivable Manager, the Accounts Receivable Specialist II 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.  

 

ESSENTIAL DUTIES AND RESPONSIBILITIES:

  • Responsible for the preparation, submission, follow up and collections of all claims assigned
  • Preparation of “clean claims” for initial submission
  • 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 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
  • 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                                       
  • Must not have any restrictions for physical work for which reasonable accommodation cannot be made

 

        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

The Foundation for Senior Living (FSL) is an Equal Opportunity/Affirmative Action Employer, M/F/D/V.  DFWP. FSL believes that diversity leads to strength.                                                   
***Military Personnel Encouraged to Apply.***

Important Notes

Full Time with Benefits: Medical, Dental, Vision, Life, FSA, 403(b) retirement plan, 10 Paid Holidays and PTO.

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