Accounts Receivable Specialist (Patient Accounting)

Asante Health System • Medford, OR

346d

About The Position

The Accounts Receivable Specialist performs account analysis and functions required to receive reimbursement from governmental and non-governmental insurance carriers in an efficient, productive and compliant manner following departmental policy and procedures. They also work proactively, assisting the public with medical financial responsibilities in a way which will provide continual success for the Asante organization.

Requirements

• High school diploma, GED, or equivalent experience demonstrating the ability to effectively communicate as needed for the position is required.
• Prior experience in medical billing or accounting/business office function is required.

Nice To Haves

• Associate or Bachelor Degree, preferred.

Responsibilities

• Consistently complete all standard and special monthly aging reports contributing to Asante's financial success by requiring reimbursement from insurance carriers in a timely manner.
• Check status of claims by telephone, insurance websites, MMIS, FISS, ePremis, and/or other means available.
• Maintain secure passwords with multiple insurance carriers for access to websites.
• Consistently complete weekly Medicare credit balance report.
• Adjust claims on the Medicare Florida Shared System as needed to resolve credit balances.
• Take appropriate action on all Medicare and Medicaid credits within 45 days.
• Consistently complete review of daily late charge report to determine if Medicare or Medicaid accounts require adjustments.
• Provide information to Supervisor concerning departmental trends in late charges.
• Review denial reports and take back reports for governmental and non-governmental insurance carriers.
• Review any vouchers, remittance advice and explanation of benefits given by the cashiering staff.
• Take appropriate action on accounts denied for non-covered service or procedure, no preauthorization, timely filing, coding issues and other line item denials.
• Review monthly status report from Medicaid Adjudication Service for Medi-Cal & Other States Medicaid accounts.
• Work line item denials and accounts with balances.
• Provide requested information to Medicaid Adjudication Service staff as requested.
• Distribute appropriate copies of vouchers, remittance advice and explanation of benefits to Patient Account Reps.
• Serve as the AR Specialist Lead or ARS Coordinator on monthly rotation.
• Monitor claim rejections for trends and issues, and report findings to supervisor.

Benefits

• Competitive starting wage
• Comprehensive benefits including medical, dental, vision, and wellness
• Excellent retirement package with up to 6% employer contribution
• Generous Earned Time Off
• Tuition reimbursement after one year of service

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Hospitals
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees