Spec Accounts Receivable – Home Medical Equipment Lima

Mercy Health • Lima, OH

21h

About The Position

The Accounts Receivable Specialist is responsible for implementation and coordination of fiscal transactions in a timely and accurate manner. This includes claims processing, cash collection, claims resolution, resolving credit balances, EOM balancing and monthly statements. Responsible for pre claim review to assure billing compliance as required by company. Is accountable for complying with all policies, procedures and regulations related to billing all Medicare, Medicaid and other Third Party Payors.
Mission/Core Values: It is expected that all of the duties and responsibilities of this position will be performed in a manner consistent with the Ministry’s Standards of Behavior (CARE; Compassion: seeks to understand, listen and explain; Advocate: is the voice for the vulnerable; Respect: demonstrates the highest regard for and welcomes all people; Excellence: commits to the highest standard of quality care, joyful service, and teamwork) and in a manner that reflects the core values of Mercy Health which are: Excellence, Human Dignity, Justice, Compassion, Sacredness of Life and Service. All supervisors and above are expected to model the organizational mission and values through their daily actions, decision making and priority setting. All supervisors and above are expected to develop, implement and monitor short and long range plans to meet or surpass standards consistent with the overall strategic plan.

Requirements

• High School Diploma.
• One year experience in medical collections or professional billing required.
• Must demonstrate basic computer knowledge, ability to use standard office equipment and basic MSOffice software.
• Problem solving skills related to account resolution.
• Adapt to changing procedures and growing environment.

Nice To Haves

• 2 Year/ Associate Degree Specialty Major: Accounting, Finance or related Combination of post-secondary education and experience will be considered in lieu of degree. Specialty/Major: Accounting, Finance or related
• 1-3 years of relevant experience in medical collections or professional billing preferred.
• Knowledge of claims review and analysis.

Responsibilities

• Examines denied and underpaid claims to determine reason for discrepancies. Communicates directly with payers to follow up on outstanding claims, file appeals, resolve payment variances, and ensure timely reimbursement. Ability to identify with specific reason underpayments, denials, and cause of payment delay. Works with management to identify, trend, and address root causes of issues in the A/R. Maintains a thorough understanding of federal and state regulations, as well as payer specific requirements and taken appropriate action accordingly. Documents activity accurately including contact names, addresses, phone numbers, and other pertinent information. Demonstrates initiative and resourcefulness by making recommendations and communicating trends and issues to management. Needs to be a strong problem solver and critical thinker to resolve accounts.
• Responsibilities include posting remittance advice to patient accounts, resolving any errors after posting payments, posting guarantor payments, reconciling all posted cash, and requesting refunds.
• Submit claims electronically or by paper according to payor specifications and filing limits.
• Performs pre billing audits to assure billing compliance as required by company.
• Answers all incoming phone calls to the business line accepting payments, answering billing questions, assisting patients with financial assistance and providing service recovery as needed.
• Process patients statements monthly per policy.
• Reviews all credit balances and processes as required by Medicare, Medicaid and all Third Party Payors.

Benefits

• Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)
• Medical, dental, vision, prescription coverage, HAS/FSA options, life insurance, mental health resources and discounts
• Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders
• Tuition assistance, professional development and continuing education support

What This Job Offers

• Job Type: Part-time
• Career Level: Entry Level
• Education Level: High school or GED