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.
Compensation:
$20 - $24 hourly
Responsibilities:-
Responsible for A/R management to facilitate collections
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Proactively monitors accounts for reimbursements from third-party and government payers
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Collaborate with the RCM team to plan and identify solutions to successfully reduce AR Aging
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Prepares and analyzes accounts receivable reports, weekly and monthly financial reports
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Follows best practice requirements and maintains a positive relationship with other RCM team members
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Implements processes and action plans set forth by the Practice Administrator
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Monthly adjustment review in EHR
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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
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Utilization of practice management software and business intelligence software to identify non-payment trends, identify A/R risk, lower denials and decrease write-offs
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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
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Ensure insurance reimbursement and payer compliance
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Collaborate with billing team members to ensure all collections are captured accurately and timely
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Perform any other office duties as assigned by the Practice Administrator
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Oversight of collection agency process
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Excellent patient financial counseling and patient billing inquiry
Qualifications:-
High School Diploma
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3-5 years of Medical Account Receivables experience
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3-5 years of EHR experience. Epic required
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3-5 years of claims management experience including claim submissions, rejections, edits, statuses, and monitoring clearinghouse activity
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Deep understanding of payer reimbursement, performance, and updates
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Payment posting experience
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Effective skills include critical thinking, decision-making, relationship building and problem-solving
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Deep understanding of third-party and government payers to include Medicare and Medicaid
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Excellent written, oral, and reading communication skills
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Microsoft Office Suite skill
About Company
Maeville Pediatrics is a place where children can feel at home while receiving top-quality health care in a comforting setting. Dr. Sissa has been practicing pediatrics for nine years, is now making this dream of hers a reality with the opening of a private practice, Maeville Pediatrics.