ACCOUNTS RECEIVABLE SPECIALIST MEAC

Montefiore Einstein Advanced Care (MEAC)•Park, KS

5d•Onsite

About The Position

This position includes but is not limited to review of posted charges for accuracy prior releasing them to insurances. This includes working coding edits, CCI edits, reviewing medical records to ensure accuracy of posted charges, working registration errors, verification of patient insurance coverage, updating both patient demographic and insurance information. Communication of claim logic issues, reimbursement/rejection trends and errors to management. Use of various billing systems such as but not limited to: Epic, Connex, ePaces, Evicore, Availity for checking eligibility. Use of coding web tools such as EncoderPro, review of CMS policies. Use of Word and Excel and any other related tasks. Responsible for posting all payments received for accounts receivable. Payment posting, refund posting, adjustment posting. Requirement that all payments are posted timely to system within 3 business days. Research required for all unidentified cash including contacting payers by phone, utilization of payer websites and other internal departments for information

Requirements

Independent, detail oriented individual with strong analytical skills.
Good verbal and written communication skills.
Knowledge of Health Insurance reimbursement and billing requirements.
Familiar with HIPAA guidelines.

Nice To Haves

Surgical coding experience is preferred.
Experience in the Epic billing system is strongly preferred.

Responsibilities

Review of posted charges for accuracy prior releasing them to insurances.
Working coding edits, CCI edits, reviewing medical records to ensure accuracy of posted charges, working registration errors, verification of patient insurance coverage, updating both patient demographic and insurance information.
Communication of claim logic issues, reimbursement/rejection trends and errors to management.
Use of various billing systems such as but not limited to: Epic, Connex, ePaces, Evicore, Availity for checking eligibility.
Use of coding web tools such as EncoderPro, review of CMS policies.
Use of Word and Excel and any other related tasks.
Posting all payments received for accounts receivable.
Payment posting, refund posting, adjustment posting.
Posting all payments timely to system within 3 business days.
Research required for all unidentified cash including contacting payers by phone, utilization of payer websites and other internal departments for information.