OUR MISSION AND PERFORMANCE EXPECTATIONSThe MENTOR Network is a mission-based organization dedicated to providing high quality services to those we serve. Therefore, to deliver on our mission, The Network expects every employee to perform his or her job first and foremost in accordance with the Company's mission.SummaryThe AR Collections Specialist is responsible for following up in a timely fashion on claims that have been paid incorrectly or have not paid at all. They are responsible for communicating with the field and their supervisor any issues preventing a claim from being sent to the payer. They are also responsible for sending claims to the payer in a timely and accurate manner.Essential Job FunctionsUpdates collection procedures as necessaryReviews and works denials in workflow system dailyReviews and works denials in payer portal and/or clearinghouse portal dailyReviews and works in DWF for tasks with follow-up dates that are set to expire on that dayReviews and works in DWF for tasks without a payer response once past 30 days from billingFollows-up with Field on updates to items assigned to them that are past follow‑up dateUpdates DWF with clear concise notes as claims are workedNotifies Field of denials that require their attentionNotifies biller when claims can be electronically rebilledSends out paper or complete web portal billing once any necessary corrections have been madeCommunicates with Field Finance and SSC Management on issues with collectionsReviews unapplied cash log for any items that can be applied and work with cash team to resolveWorks credit balances on the aging and overpayment account and follow the credit balance procedure for resolutionPrepares appeal packet as required by payer, scan and save documentation to be sent, update DWF with notes and follow‑up date and have Supervisor review prior to sendingFollows‑up on appeal status with payer after 30 days and then on a bi‑weekly basis until paidCompletes necessary forms and provides appropriate support for:RefundsCash moveSales adjustmentsTransfer of LiabilityEnsures internal control compliance with all assigned areas and other audit requirementsAssists in the onboarding of new hires by providing required training when necessaryEmbraces concept mentoring by actively participating in team meetings and fostering an environment in which team members proactively collaborate with one anotherProactively supports management as well as the objectives and goals of the departmentSupports special projects, mission critical initiatives and performs other duties as assigned by the SupervisorEnsures Sarbanes‑Oxley compliance with all assigned areas and other audit requirements.Responsible for the maintenance of an effective control environment under SOX404 for the accounting operations he or she oversees. This includes both key and non‑key controls and extends to the timely updating and modification of control design where necessary and the oversight of control remediation activities should exceptions be encountered in testing.System testingPerforms other related duties and activities as requiredSupervisory ResponsibilitiesNone RequiredMinimum Knowledge And Skills Required By The JobThe requirements listed below are representative of the knowledge, skill, and/or abilities required to perform the job:Education And ExperienceHigh school diploma or equivalentTexas collections experience strongly preferredAssociates or Bachelor's degree in a finance‑related field preferredTwo to three years of experience with Medical Collections in a high‑volume environment preferredKnowledge of ICD‑10 diagnosis codes and CPT medical service codesKnowledge of UB‑04 and HCFA‑1500 formsStrong understanding of medical collections complianceStrong understanding of Medicare, Medicaid, Medicaid managed care, Commercial, Workers Comp, and Auto‑no‑fault payer typesCertificates, Licenses, And RegistrationsNone required.Other Skills And AbilitiesMust be self‑motivated and detail orientedMust have excellent communication skillsMust be highly organized with ability to multi‑taskMust have analytical skills and the ability to collect information from different sourcesEffectively use Microsoft Office (Word, Excel, PowerPoint, Outlook, etc.)Other RequirementsTravel as neededPhysical RequirementsSedentary work. Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.Americans With Disabilities Act StatementExternal and internal applicants, as well as position incumbents who become disabled, 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.As an equal opportunity employer, we do not discriminate on the basis of race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age, disability, genetic information, veteran status, citizenship, or any other characteristic protected by law#J-18808-Ljbffr