Accounts Receivable Specialist- Community Health

Optimus Health Care, Inc.•Stratford, CT

11d•Onsite

About The Position

Optimus Healthcare is looking for a full-time Account Receivable Specialist with a minimum of two years medical billing experience to join our team onsite in Stratford. POSITION SUMMARY Responsible for performing all tasks related to the Billing, Cash posting, Follow-up, and Collections functions for Optimus Health Care.

Requirements

Detail-oriented with excellent problem-solving abilities
Experience with EMR (EPIC); Microsoft Word, Excel, PowerPoint, and other billing software applications
Strong communication, verbal and written and interpersonal skills
Ability to analyze and solve problems with limited assistance
Ability to maintain confidentiality
Demonstrated medical accounts receivable or insurance follow up background
Attention to detail and accuracy
Ability to meet deadlines
Strong organization and prioritization skills
Ability to work with a diverse group of people, providing excellent customer service
Ability to work independently or as a team member
Strong data entry Skills
Analytical and problem-solving skills
Associate or bachelor’s degree in finance, Healthcare Administration, or a related field.
High School Diploma; (CPT4 and ICD9/ICD10), helpful.
Minimum of 2 years' experience in medical billing, accounts receivable, or a similar role.
Proficient knowledge of medical terminology, ICD-10, and CPT codes.

Nice To Haves

Certified Professional Coder (CPC) or similar certification is desirable
High School Diploma; (CPT4 and ICD9/ICD10), helpful.

Responsibilities

Research all information needed to complete billing processing including correction of prebilling errors to ensure compliance with regulatory guidelines at time of billing.
Review of claim batches, making appropriate corrections for claims to be accepted by clearing house.
File all claims daily (electronic claims and hard copy).
Post charges and any corrections to charges to ensure integrity of account information.
Analyze billing reports to ensure proper billing procedures are followed based on federal and state rules and regulations.
Review and analyze health care clinicians claims and identify trends and issues within the revenue cycle process.
Post all insurance and patient payments received and reconcile to the door sheet provided by finance each day.
Research and resolve all collection related activities, including working through accounts receivables to maximize reimbursement.
Function as a liaison between patients and clinic staff on claims, billing questions or insurance related issues.
Trace errors, record adjustments to proper account and determine the appropriate destination of unidentified funds.
Respond to inquiries from agencies and insurance companies to assist in claim payment processing.
Effectively process all patient and third-party correspondence, including requests for copies of claims, statements, and refunds.
Effectively process all legal documentation as it relates to patient accounts.
Act as a resource to Clinicians, Administrators and patients regarding health insurance claim policies, procedures, and requirements.
Provide support to the Billing department and management team on various areas of patient billing research and analysis.
Research, trouble-shoot Accounts receivable reports and rejections, process appeals where appropriate, and make recommendation for write offs.
Maintain compliance according to government insurance regulations and managed care contractual obligations.
Maintain regulatory compliance by staying abreast of current trends and regulations in the financial and healthcare industries.
Maintain assigned work queues to ensure timely action for charge posting, insurance follow up, and credits.
Run standard billing reports from EMR for efficient and timely management of accounts receivables for insurance and patient collections.