Responsible for the aggressive and tenacious pursuit of complete, accurate healthcare account receivables and collections. Experience with medical/pediatric billing, AR Follow-up to include denial management, insurance follow-up, self-pay process & bad debt. It is critical that this individual develop and maintain good relationships with practice employees, managers, providers, vendors, and payers. Responsibilities: • Manage accounts receivable to ensure timely collections are facilitated • Monitor accounts proactively to seek reimbursements from third-party and government payers • Collaborate with the RCM team to strategize and implement solutions for reducing AR Aging effectively • Prepare and analyze accounts receivable reports, along with weekly and monthly financial reports • Adhere to best practice requirements and maintain positive relationships with RCM team members • Implement processes and action plans directed by the Practice Administrator • Review adjustments monthly in the EHR system • Assist in payment posting and reconcile payments across various systems to ensure accuracy • Utilize practice management and business intelligence software to identify payment trends, and A/R risks, and minimize denials and write-offs • Develop and manage relationships with cross-functional teams within the organization to drive growth strategies • Ensure compliance with insurance reimbursement and payer regulations • Collaborate with the billing team to ensure accurate and timely collections • Perform additional office duties as assigned • Oversee the collection agency process • Provide excellent patient financial counseling and address billing inquiries Qualifications: • A High School Diploma is required for this position • The ideal candidate should have 3-5 years of experience in Medical Account Receivables • 3-5 years of EHR experience, with a preference for Epic proficiency • A minimum of 3-5 years of experience in claims management, including claim submissions, rejections, edits, statuses, and monitoring clearinghouse activity • A strong understanding of payer reimbursement, performance, and updates is necessary • Previous experience in payment posting is preferred • Effective skills such as critical thinking, decision-making, relationship-building, and problem-solving are essential • Deep understanding of third-party and government payers, particularly Medicare and Medicaid • Excellent written, oral, and reading communication skills are a must • Proficiency in Microsoft Office Suite is required for this role Compensation: $20 - $24 hourly
• Manage accounts receivable to ensure timely collections are facilitated • Monitor accounts proactively to seek reimbursements from third-party and government payers • Collaborate with the RCM team to strategize and implement solutions for reducing AR Aging effectively • Prepare and analyze accounts receivable reports, along with weekly and monthly financial reports • Adhere to best practice requirements and maintain positive relationships with RCM team members • Implement processes and action plans directed by the Practice Administrator • Review adjustments monthly in the EHR system • Assist in payment posting and reconcile payments across various systems to ensure accuracy • Utilize practice management and business intelligence software to identify payment trends, and A/R risks, and minimize denials and write-offs • Develop and manage relationships with cross-functional teams within the organization to drive growth strategies • Ensure compliance with insurance reimbursement and payer regulations • Collaborate with the billing team to ensure accurate and timely collections • Perform additional office duties as assigned • Oversee the collection agency process • Provide excellent patient financial counseling and address billing inquiries