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SalaryResponsible 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.
Compensation:$20 - $24 hourly
Responsibilities:- Responsible for A/R management to facilitate collections
- Proactively monitors accounts for reimbursements from third-party and government payers
- Collaborate with RCM team to plan and identify solutions to successfully reduce AR Aging
- Prepares and analyzes Accounts Receivable reports, weekly and monthly financial reports
- Follows best practice requirements and maintains a positive relationship with other RCM team members
- Implements processes and action plans set forth by Practice Administrator
- Monthly adjustment review in EHR
- Assist with payment posting and reconciliation of payments to bank deposits, EHR system and all payment systems to ensure all payments are received and accounted for
- Utilization of practice management software and business intelligence software to identify non-payment trends, identify A/R risk, lower denials and decrease write-offs
- Ability to develop, manage relationships and work cross-functional with other teams within the organization and revenue cycle as well as work with all departments to build and drive organizational strategies and growth
- Ensure insurance reimbursement and payer compliance
- Collaborate with billing team members to ensure all collections are captured accurately and timely
- Perform any other office duties as assigned by Practice Administrator
- Oversight of collection agency process
- Excellent patient financial counseling and patient billing inquiry
- High School Diploma
- 3-5 years Medical Account Receivables experience
- 3-5 years EHR experience. Epic required
- 3-5 years claims management experience to include claim submissions, rejections, edits, statuses and monitoring clearinghouse activity
- Deep understanding of payer reimbursement, performance and updates
- Payment posting experience
- Effective skills include critical thinking, decision-making, relationship building and problem-solving
- Deep understanding of third-party and government payers to include Medicare and Medicaid
- Excellent written, oral and reading communication skills
- Microsoft Office Suite skill
Pediatric Medicine Practice
