Accounts Receivable Specialist- Community Health

Join a Team That Makes a Difference at Optimus Health Care!

At Optimus Health Care, a career is more than a job-it's an opportunity to make a meaningful difference in the lives of the people and communities we serve.

We're proud of the dedicated professionals who bring compassion, skill, and purpose to their work every day, and we're always looking for talented individuals who want to grow with us.

If you're looking for a career where your work truly matters, we invite you to explore opportunities with Optimus Health Care.

Your career. Your purpose. Our community.

Optimus Healthcare is looking for a full-time Account Receivable Specialist with a minimum of two years medical billing experience to join our team onsite in Stratford.

POSITION SUMMARY

Responsible for performing all tasks related to the Billing, Cash posting, Follow-up, and Collections functions for Optimus Health Care.

ESSENTIAL FUNCTIONS & RESPONSIBILITIES

Research all information needed to complete billing processing including correction of prebilling errors to ensure compliance with regulatory guidelines at time of billing.

Review of claim batches, making appropriate corrections for claims to be accepted by clearing house.

File all claims daily (electronic claims and hard copy).

Post charges and any corrections to charges to ensure integrity of account information.

Analyze billing reports to ensure proper billing procedures are followed based on federal and state rules and regulations.

Review and analyze health care clinicians claims and identify trends and issues within the revenue cycle process.

Post all insurance and patient payments received and reconcile to the door sheet provided by finance each day.

Research and resolve all collection related activities, including working through accounts receivables to maximize reimbursement.

Function as a liaison between patients and clinic staff on claims, billing questions or insurance related issues.

Trace errors, record adjustments to proper account and determine the appropriate destination of unidentified funds.

Respond to inquiries from agencies and insurance companies to assist in claim payment processing.

Effectively process all patient and third-party correspondence, including requests for copies of claims, statements, and refunds.

Effectively process all legal documentation as it relates to patient accounts.

Act as a resource to Clinicians, Administrators and patients regarding health insurance claim policies, procedures, and requirements.

Provide support to the Billing department and management team on various areas of patient billing research and analysis.

Research, trouble-shoot Accounts receivable reports and rejections, process appeals where appropriate, and make recommendation for write offs.

Maintain compliance according to government insurance regulations and managed care contractual obligations.

Maintain regulatory compliance by staying abreast of current trends and regulations in the financial and healthcare industries.

Maintain assigned work queues to ensure timely action for charge posting, insurance follow up, and credits.

Run standard billing reports from EMR for efficient and timely management of accounts receivables for insurance and patient collections.

JOB QUALIFICATIONS/REQUIREMENTS

Detail-oriented with excellent problem-solving abilities

Experience with EMR (EPIC); Microsoft Word, Excel, PowerPoint, and other billing software applications

Strong communication, verbal and written and interpersonal skills

Ability to analyze and solve problems with limited assistance

Ability to maintain confidentiality

Demonstrated medical accounts receivable or insurance follow up background

Attention to detail and accuracy

Ability to meet deadlines

Strong organization and prioritization skills

Ability to work with a diverse group of people, providing excellent customer service

Ability to work independently or as a team member

Strong data entry Skills

Analytical and problem-solving skills

EDUCATION: Associate or bachelor's degree in finance, Healthcare Administration, or a related field. Certified Professional Coder (CPC) or similar certification is desirable

High School Diploma; (CPT4 and ICD9/ICD10), helpful.

EXPERIENCE: Minimum of 2 years' experience in medical billing, accounts receivable, or a similar role.

Proficient knowledge of medical terminology, ICD-10, and CPT codes.

Working for Optimus:

• OHC provides a fun, fast-paced working environment, where our commitment to quality is present in every job function.
• Excellent health & welfare benefit options
• Competitive Compensation
• Optimus and its caring, multilingual staff proudly serve our community in a patient-centered environment.

Optimus is committed to providing equal employment opportunities to all applicants and employees as protected by applicable federal and/or stat