Bilingual Accounts Receivable Specialist, - FlexStaff (Direct Hire)

Northwell Health•Lake Success, FL

21h•Onsite

About The Position

FlexStaff is hiring an Accounts Receivable Specialist for one of our clients. Candidate can work out of either East Meadow or New York office. The Accounts Receivable Specialist will assist in ensuring that the company receives payment for goods and services offered to clients.

Requirements

Demonstrated computer proficiency with knowledge of Microsoft Office.
Strong knowledge of medical insurance, billing guidelines, and compliance.
Knowledge of medical terminology.
Knowledge of how to navigate NY Medicaid and CT Medicaid portals.
Experience working with billing/AR claims including NY Medicaid.
Demonstrates professional and positive communication with interpersonal skills.
Must be highly detail-oriented with the ability to handle multiple tasks.
High attention to detail and ability to problem solve claim resolution.
At least 3 years experience.
High school graduate or equivalent required.
Experience working in a medical practice/healthcare setting; at least 2 years preferred.
Orthotic & Prosthetic field experience necessary, at least 2 years preferred.

Nice To Haves

Experience in orthotics and prosthetics preferred.
Practice management software experience highly preferred- Waystar, OPIE, and Medflex experience a plus.
Knowledge of the ePaces portal is highly preferred.
Experience in driving process improvement.
Bi-lingual (Spanish), a plus.
Associate degree or equivalent preferred.

Responsibilities

Prepares, posts, verifies, and records customer payments and transactions related to accounts receivable.
Investigates and resolves denied claims in a timely manner.
Work and manage commercial and Medicaid claims from all aging buckets including posting, appeals, and ADRs.
Download and review electronic and paper EOBs for denied claims and line-item denials.
Identifies and reviews delinquent accounts and pursues collection as needed.
Responsible for all follow-through efforts performed and documented in a timely manner within compliance.
Coordinates medical record requests with the main office for appeal purposes.
Communicate accurate patient and billing information to the Insurance carrier.
Prepare weekly reports to review with management with updated status and communication.
Reviews explanation of benefits and adjusts accounts according to contracted rates for accurate AR.
Maintains the strictest confidentiality and adheres to all HIPAA guidelines/regulations.
Performs other related duties as assigned.