Medical Accounts Receivable Specialist

Job Description

Reports directly to Director of Finance and is responsible for collecting, posting, and managing account payments for the organization by submitting claims and following up with insurance companies.

• Draft invoice batches for each location and review for missing information and corrections for:
  • Rates
  • Billing codes
  • Diagnosis
  • ID numbers
  • Authorization
  • Doctor orders
• Verify invoices with missing authorization codes have valid authorization.
• Create spreadsheets for missing authorization or information, then submit to appropriate person at each location.
• Finalize invoices that do not have any discrepancies.
• Export non AHCCS invoices and Submit AHCCS invoices to 3rd party for review.
• Enter required invoices into Texas Medicaid portal.
• Print Paper invoices.
• Create Unbilled billable report with explanation for each unbilled invoice.
• Check Emdeon website weekly to ensure all submitted claims are being processed.
• Document all conversations and billing transactions in the management system.
• Recognize and analyze billing and collections problems.
• Communicate effectively with staff and management.
• Appropriately perform all other duties assigned by Finance Manager or Director of Finance.
• Supports and executes the mission, ethics, and goals of the company effectively.
• Represents themselves in a positive and professional manner in the company and community.
• Adheres to dress code with a clean and neat professional appearance.
• Reports on time and as scheduledin order tocomplete work within designated time.
• Adhere to all company policies and procedures outlined in Employee Handbook, Employee Agreement, or communicated from executive team.

Qualifications

• Knowledge of billing and collections procedures
• Strong attention to detail and goal oriented
• Excellent written and verbal communication abilities
• Maintain strictconfidentiality;adhering to all HIPAA guidelines and regulations

Benefits are available to eligible employees on the first of the month after 30 days of employment and include:

• Health, Dental & Vision Coverage
• Health Savings Accounts (HSA)
• Flexible Spending Accounts (FSA)
• Employee Assistance Program (EAP)
• 401(k) retirement plan
• Paid Time Off (PTO)
• Company Paid Holidays
• 100% Company Paid Life Insurance
• Critical Illness/Accident Insurance
• Hospital Indemnity Insurance
• Identity Protection Plan
• Legal Care Plan

All your information will be kept confidential according to EEO guidelines.

Additional Information

The pay range for this position is $17-$23 per hour.

Benefits are available to eligible employees on the first of the month after 30 days of employment and include:

• Health, Dental & Vision Coverage
• Health Savings Accounts (HSA)
• Flexible Spending Accounts (FSA)
• Employee Assistance Program (EAP)
• 401(k) retirement plan
• Paid Time Off (PTO)
• Company Paid Holidays
• 100% Company Paid Life Insurance
• Critical Illness/Accident Insurance
• Hospital Indemnity Insurance
• Identity Protection Plan
• Legal Care Plan

All your information will be kept confidential according to EEO guidelines.