Accounts Receivable Specialist

Wyandot Behavioral Health Network•Kansas City, KS

About The Position

The Accounts Receivable Specialist audits assigned accounts with outstanding balances, conducts collections, reports collection activity, re-files claims when payment is inadequate, and reconciles inaccurate accounts. The role supports billing and collections for insurance accounts and prepares claims for Medicaid, Medicare, and third-party insurance as assigned. Based at a central office, the position involves light travel to other locations, businesses, and community sites to meet organizational needs. The workday regularly includes multiple and/or conflicting demands.

Requirements

  • High school diploma or equivalent experience.
  • Relevant data entry experience.
  • Experience with or knowledge of a computerized accounting system.
  • Knowledge of billing and payor systems for receivables in a medical insurance environment, including contractual fees and adjustments and timely filing requirements.
  • Ability to communicate effectively with third-party payors, clients, staff, and consumers.
  • Ability to create and maintain multiple spreadsheets in Excel.
  • Ability to maintain the confidential nature of the work.
  • Ability to recognize and be sensitive to cultural and ethnic differences.

Responsibilities

  • Audit assigned accounts on aged accounts receivable reports for all insurance that are more than 30 days past due.
  • Research client accounts and files, communicate with appropriate staff and payors, complete collection activities, and document actions taken.
  • Report collection activity results weekly to the Accounting Service Manager.
  • Identify and correct inaccurate transactions on client accounts.
  • Identify unacceptable payments or claim rejections and process claim resubmissions or adjustments.
  • Prepare claims for Medicaid, Medicare, and third-party insurance as assigned.
  • Cross-train in Accounts Receivable, Billing, and Collections to develop working knowledge of the billing and collections process.
  • Generate independent reports needed to follow up on assigned accounts.
  • Receive and respond to incoming calls from clients and insurers.
  • Perform other assignments or projects as needed within the department.
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