About this opportunity
The Wright Center for Graduate Medical Education lists this Specialist, Accounts Receivable opportunity in scranton, Pennsylvania. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Accounts Receivable Specialist
The Accounts Receivable Specialist is responsible for researching outstanding balances and determining correct action to be taken to ensure maximum reimbursement. Must take the lead on corrective actions for accounts with outstanding balances in a timely manner to obtain reimbursement. Responsible for processing correspondence relating to the financial status of an account. Responsible for recognizing trends for denials and reimbursement issues and reporting such to the Billing Supervisor & /or Director Revenue Cycle.
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.
The position reports to the Director of Revenue Cycle. No staff report to this position.
While living and demonstrating our Core Values, the Accounts Receivable Specialist will:
Manage outstanding accounts receivable. Resolve outstanding balances, resubmitting claims and providing necessary information to support prompt payment. Parties which may be contacted to resolve an outstanding balance include but are not limited to patients, responsible parties, insurance carriers, case managers, employers, referring providers, attorneys and facility personnel
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
Identify, correct and communicate payment posting errors to staff
Make all necessary corrections in the billing system. Research and resolve claims rejected by payer
Identify billing and coverage concerns. Communicate with billing and front office staff regarding billing requirements not being met
Answer patient and facility questions about account balance and status of payment
Identify, correct and communicate facility errors to appropriate parties involved and produce corrective action plans accordingly
Identify and communicate payment trends to Supervisor & /or Director Revenue Cycle, related to payers, CPT codes, diagnosis codes, etc
Research outstanding credit balances and prepare requests for refunds
Research and recommend accounts for bad debt write off
Assist to develop a strategy the team will use to reach goals and maintain high level of productivity
Provide training that team members may need and monitor progress
Create reports to update the organization on Billing Department progress
Other duties as assigned by management
Qualifications
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 required
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
Worksite address
scranton, PA, 18512, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.