The Payment & Accounts Receivable Specialist provides financial, administrative and clerical services to ensure accuracy and efficiency of billing operations. This position performs payment posting, insurance denial posting and AR follow up, insurance submission, patient refund preparation, prepares deposits and other AR tasks. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements for this job description are not intended to be all inclusive. They represent typical elements considered necessary to successfully perform the job.
Work is typically performed in an office environment, but this position has the option to work from home but may also be needed onsite for projects or team meetings from time to time. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements for this job description are not intended to be all inclusive. They represent typical elements considered necessary to successfully perform the job.
REPORTING RELATIONSHIPS
The position reports to the Director of Revenue Cycle. No staff report to this position.
ESSENTIAL JOB DUTIES and FUNCTIONS
While living and demonstrating our Core Values, the Payment & Accounts Receivable Specialist will:
Post all mail and EFT insurance and personal payments to patient's accounts
Post denials to patient accounts and follow up with payer
Transfer copay/co-insurance and deductible balances to patient responsibility
Reconciliation of daily deposits
Perform remote bank deposit for checks received in the mail
Knowledge of EOB's, EFT's and ERA's
Analyze EOB's, balance healthcare insurance and patient payments
Perform adjustments and credits to medical accounts as needed
Follow up on outstanding accounts receivable, focusing on maintaining aged receivables within 90 days of days outstanding. Includes researching aged account reports, outstanding "to-do" list, and processing problematic EOB's
Make all necessary corrections in the billing system. Research and resolve claims rejected by payer
Use online Healthcare databases and other resources for verification and claim status
Deliver the highest quality medical customer service to healthcare providers and internal providers
Assist other members of the team with other projects as needed
Research outstanding credit balances and prepare requests for refunds
Other duties as assigned by management
Requirements
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
High school degree or equivalent
1 - 3 years medical billing/claims experience
Knowledge of EOBs, EFTs and ERAs
Experience in CPT codes and ICD 10 coding preferred
Experience with electronic medical records preferred
FQHC billing and payment posting preferred, but will train the right candidate
Medent experience preferred
Knowledge of Microsoft Office software
Must be focused, self-directed, organized, and have demonstrated problem-solving abilities
Accurate and precise attention to detail
Excellent verbal and written communication skills
Able to work both independently and as part of a team