accounts receivable specialist

Strategic Health Partners

<div>The Accounts Receivable Specialist is responsible for ensuring all eligible accounts are reviewed, appealed, escalated or adjusted within the designated payer timeframes and are documented appropriately in the patient accounting system. Additionally, the AR representative will be responsible for the tracking and trending of recovery efforts by utilizing various departmental tools and appropriately reporting on-going problems specific to payers, health system departments, and/or contracts. The AR representative will work closely with other team members to ensure necessary communication and feedback to the department.
Duties and Responsibilities
<ul><li>Execute the denial appeals process, which includes receiving, assessing, documenting, tracking, responding to, and/or resolving appeals with third-party payers. Research and resolve payer rejected/denied claims and analyze accounts for insurance payment accuracy/completeness and for payer claim processing accuracy per contract. Work with clinical staff as needed to follow-up and appeal denials.</li>
<li>Appropriately report on-going problems specific to payors.</li>
<li>Appeal in accordance with methodology in departmental policy and procedure including using correct grammar and spelling.</li>
<li>Transmit required documentation to Government and third-party payers for the purpose of resolving payments.</li>
<li>Ensure claims are crossed over to secondary insurances, reporting any delay in unbilled secondary claims to your Lead.</li>
<li>Consistently meet the current productivity standards in addressing and resolving accounts.</li>
<li>Consistently meet the current quality standards in taking appropriate actions to identify and track root causes, successfully appeal denied accounts, and trend issues.</li>
<li>Perform any other duties as assigned by leadership.
</li></ul>Qualifications:
Must have a combination of education and experience within the field of healthcare revenue cycle including knowledge of commercial, Medicare, Medicaid, VA, Tricare and Worker&rsquo;s Comp payers. Insurance Follow-up required and Billing knowledge is a plus.
Required Minimum Skills:
<ul><li>Experience with Anesthesia billing and follow-up is a plus however, it is not a requirement</li></ul>
<ul><li>Ability to problem-solve &amp; troubleshoot insurance claim</li></ul>
<ul><li>Working knowledge of Managed Care, Medicare and Medicaid</li></ul>
<ul><li>Knowledge of Word and Excel</li></ul>
<ul><li>Detail-oriented</li></ul>
<ul><li>Focused on achieving personal, team and company goals</li></ul></div>

Accounts Receivable Specialist

Mac Care

Job Summary:We seek candidates to join our organization as Accounts Receivable Specialists for night shift operations. The accounts receivable specialist is responsible for managing the billing and coding process for medical services provided by the healthcare facility. This position requires attention to detail, familiarity with healthcare insurance policies and medical terminology, and proficiency in coding and billing software. The ideal candidate will ensure accurate and timely submission of claims, resolve billing discrepancies, and ensure compliance with healthcare regulations.Key Responsibilities:<ul><li>Claims Submission: Submit medical claims to insurance companies, government agencies (Medicare/Medicaid), and patients for payment.</li><li>Insurance Verification: Verify patient insurance information, ensuring accuracy of coverage, billing, and coding before claims are submitted.</li><li>Coding: Review patient charts and assign appropriate ICD-10, CPT, and HCPCS codes for services rendered.</li><li>Payment Posting: Post payments from insurance companies and patients into the billing system, ensuring correct allocation.</li><li>Account Management: Monitor patient accounts for outstanding balances, payment discrepancies, and aging reports.</li><li>Claim Follow-up: Follow up on denied, rejected, or unpaid claims by contacting insurance providers or patients and resolving issues.</li><li>Patient Communication: Communicate with patients to explain bills, payment plans, and outstanding charges.</li><li>Compliance: Ensure that all billing practices adhere to federal, state, and insurance regulations, including HIPAA compliance.</li><li>Reporting: Prepare and submit regular billing reports, including status updates on unpaid claims, outstanding patient balances, and financial projections.</li><li>Collaboration: Work closely with other departments (medical providers, front desk staff, coding team) to ensure accurate billing and resolution of discrepancies.</li><li>Dispute Resolution: Investigate and resolve billing disputes by working with insurance companies, patients, and healthcare providers.</li></ul>Qualifications:<ul><li>Experience: At least 1+ years of experience in medical billing, coding, or a related healthcare administrative role.</li><li>Knowledge: Strong knowledge of medical billing procedures, insurance verification, ICD-10, CPT, and HCPCS codes.</li><li>Technical Skills: Proficient with billing software and EHR (Electronic Health Record) systems. Familiarity with Microsoft Office Suite (Excel, Word).</li><li>Communication Skills: Strong written and verbal communication skills to interact effectively with patients, insurance companies, and healthcare providers.</li><li>Attention to Detail: High level of accuracy and attention to detail to avoid billing errors and discrepancies.</li><li>Organizational Skills: Ability to manage multiple accounts and tasks in a fast-paced environment.</li><li>Problem-Solving: Strong analytical and troubleshooting skills to resolve issues quickly and efficiently.</li></ul>Preferred Skills:<ul><li>Experience with Specific Payer Systems: Experience working with major insurance companies and government payers.</li><li>Familiarity with ICD-10 Updates: Knowledge of ongoing changes in coding regulations and payer requirements.</li></ul>Job Type: Full-timeWork Location: In person

Provox Global Solutions

We are seeking a highly accurate and organized Accounts Receivable (AR) Specialist to support our client. The AR Specialist will be responsible for managing the full cycle of accounts receivable, including invoicing, collections, and reconciliations. This role requires experience with NetSuite, reconciliation processes, and a high degree of accuracy and attention to detail.Key Responsibilities<ul><li>Generate and process customer invoices in NetSuite.</li><li>Contact customers regarding payments</li><li>Apply customer payments and reconcile AR sub-ledgers to the general ledger.</li><li>Monitor aging reports and follow up on outstanding balances.</li><li>Resolve discrepancies and collaborate with customers to ensure timely collections.</li><li>Support month-end close with accurate AR data and reconciliations.</li><li>Prepare AR-related reports for management as needed.</li><li>Assist in audits by providing documentation and reconciliations.</li></ul>Qualifications<ul><li>3+ years of experience in Accounts Receivable or a similar role.</li><li>Hands-on experience with NetSuite is required.</li><li>Strong knowledge of reconciliation processes and AR best practices.</li><li>Excellent organizational skills with ability to manage multiple priorities.</li><li>Exceptional attention to detail and accuracy.</li><li>Strong communication and customer service skills.</li></ul>Job Type: Full-timeWork Location: In person

Accounts Receivable (AR) Specialist

Cequens

<div>The Accounts Receivable Accountant at CEQUENS is responsible for assisting in the management of the accounts receivable process, ensuring accurate and timely invoicing, payment processing, and account reconciliation. This role is crucial in supporting the company's cash flow and financial stability by actively managing invoicing and following up on overdue accounts. The Accounts Receivable Specialist will work closely with the finance team to ensure that all billing processes are executed accurately and efficiently. This role is a 3 month Fixed Term contract working permanent hours.
Main Areas of Responsibility
Accounts Receivable Management<ul>
<li>Process and monitor incoming payments, and secure revenue by verifying and posting receipts.</li>
<li>Maintain up-to-date billing system and carry out billing and collection duties as assigned.</li>
</ul>Customer Account Maintenance<ul>
<li>Keep track of accounts to ensure payments are up to date.</li>
<li>Resolve billing and customer credit issues by communicating directly with customers, enhancing customer satisfaction and financial reliability.</li>
</ul>Record Keeping and Reporting<ul>
<li>Maintain accounts receivable files and records; produce monthly financial and management reports.</li>
<li>Investigate and resolve any irregularities or enquiries in the accounts receivable ledger.</li>
</ul>Cash Flow Management<ul>
<li>Assist in forecasting accurate cash flow from accounts receivable to aid in financial planning.</li>
<li>Ensure timely collection of payments to maintain steady cash flow and minimize bad debt.</li>
</ul>Compliance and Process Improvement<ul>
<li>Assist in developing and implementing policies and procedures for the accounts receivable process to enhance efficiency and reduce the time from invoice to cash collection.</li>
<li><ul><li>Ensure adherence to financial policies, procedures, and regulatory requirements.</li></ul></li>
</ul>Requirements
Education<ul><li>
Bachelor&rsquo;s degree in Finance, Accounting, or related field</li></ul>
Experience<ul>
<li>2-5 years of experience in an accounts receivable role or a similar financial position within the telecommunications or SaaS technology industry</li>
<li>Familiarity with accounting software and systems</li>
</ul>Skills<ul>
<li>Strong understanding of billing and financial procedures.</li>
<li>Excellent numerical and analytical abilities.</li>
<li>Good organizational and time management skills, with the ability to manage multiple tasks and deadlines.</li>
<li>Effective communication skills, capable of handling potentially uncomfortable conversations regarding billing and collections tactfully.</li>
<li>Proficiency in Microsoft Office, especially Excel; knowledge of accounting software, ideally Microsoft Dynamics 365 and databases.</li></ul></div>

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Accounts Receivable (AR) Specialist

Accounts Receivable Accountant - 3 months Fixed contract