Accounts Receivable Billing Associate

Osborn Family Health Center•Camden, NJ

1d•Onsite

About The Position

Accounts Receivable Billing Associates will oversee all aspects of the FQHC’s management of denials, resubmission of claims, collections and payment. The Manager will ensure timely and accurate processing of claims through diligent monitoring and analysis of accounts receivable. Ensuring compliance with financial regulations, implementing strategies to improve cash flow and manage risk associated with outstanding patient/insurance balances. The candidate must have accounts receivable expertise with New Jersey Medicaid and Medicaid HMOs. Other Insurance Coverage: Medicare, Commercial, and Sliding Fee Program. ICD-10 Coding and the current CPT procedures for a busy primary/specialty care practice. The AR Manager/Credentialing must have extensive knowledge of E&M Coding.

Requirements

Accounts receivable expertise with New Jersey Medicaid and Medicaid HMOs
Medicare, Commercial, and Sliding Fee Program knowledge
ICD-10 Coding and the current CPT procedures for a busy primary/specialty care practice
Extensive knowledge of E&M Coding
Working Knowledge of Practice Management Billing Systems
Familiarity with Excel Spreadsheets
Ability to prioritize
Accuracy and attention to detail
Working knowledge of Microsoft Office products; Excel, Word, and Power Point
Excellent analytical and interpretive skills
Prior experience with a FQHC- "Federally Qualified Health Cent
Experience with CAQH- Council for Affordable Health Care
Knowledge of NPPES/PECOS/NCQA
High school diploma required
3-5-years’ experience working in an accounting, billing/credentialing or accounts receivable department/Primary Care Practice Setting
Experience with Practice Management Systems -- Intergy/Greenway
Knowledge of Credentialing process in an FQHC

Nice To Haves

Greenway Intergy experience is highly valued
Ability to create manuals, flow charts, dashboard of participation of providers
Coordination with Medical Staff for Hospital Privileges

Responsibilities

Regularly analyzing accounts receivable aging reports
Software System Claims Portal - Clearinghouse
Identify Trends, address issues and improve cash flow
Implement new technologies and process to streamline accounts receivable operations and improve efficiency
Prepare and analyze financial reports related to accounts receivable
Monitor aging balances recommend write offs/Bad Debt Approval to Write-Off
Monthly/Quarterly – CFO/CEO Monthly Statistical Report for Uninsured Patients/Population of patients served
Promotes the exchange of information between the Financial Counseling, Billing Department, Information Technology (IT) and CFO
Support interdepartmental team building and timely resolution of coding/procedure code deficiencies
Performs other duties as assigned and required to maintain an efficient and effective workflow
Primary source verification
Preparation/Completion of Applications for Health Care Providers
Recertification for providers and facility
Perform monthly queries with National Practitioner Data Bank/OIG
Maintain/store accurate records for Health Care Providers
Communication with Insurance Plans- Participation of Providers/Facility
Maintain Provider Directory for Insurance Plans
Coordination with Billing and IT Department – NPI numbers
Interaction with Human Resource Department