Senior Accounts Receivable Specialist

Core Clinical Partners•Lafayette, LA

3d•Hybrid

About The Position

Core Clinical Partners provides emergency and hospital medicine services with an emphasis on patient-centric care and operational excellence. The Senior Accounts Receivable Specialist uses multiple EMR systems and billing and documentation servers to review and resolve billing edits, charge information, insurance benefits, and related account information for hospitals, clinics, and insurance companies. Under the direction of the AR Manager, the specialist follows up on outstanding accounts receivable for all payers, including self-pay, and resolves denials. The role handles correspondence related to insurance and patient accounts, contacts insurance carriers, patients, and other facilities to maximize account payments, and identifies issues or changes that affect client profitability. This is a hybrid position based out of the Lafayette, Louisiana office, with three days per week required in the office. The position requires maintaining confidentiality, providing customer service on payment-related issues, meeting performance and productivity standards, and contributing to ongoing improvements in departmental efficiency and service.

Requirements

High school diploma required.
Proven experience in accounts receivable or a related financial role.
Five years of experience in healthcare revenue cycle required.
Proficiency using payer software and EMR systems.
Ability to manage difficult or emotional customer situations, respond promptly to customer needs, solicit feedback, and meet commitments.
Knowledge of commonly used accounts-receivable concepts, practices, and procedures, and ability to learn and apply new skills.
Ability to make decisions using sound judgment and explain the reasoning behind decisions.
Ability to prioritize and plan work, use time efficiently, set goals, and develop realistic action plans.
Ability to identify and resolve routine problems, analyze information, recommend alternate solutions, and participate in group problem solving.
Ability to communicate changes and project progress and complete projects on time.
Excellent analytical and problem-solving skills.
Effective communication and interpersonal skills.
Detail-oriented and able to meet tight deadlines.
Ability to work within a team environment.
Growth mindset and team-oriented behaviors.
Must work in the Lafayette, Louisiana office three days per week.

Nice To Haves

Bachelor’s degree in Accounting, Finance, or a related field preferred.

Responsibilities

Investigate, follow up with payers, and collect assigned insurance accounts receivable, including outsourced and internal AR aging, clearinghouse rejections, and payer denials.
Perform comprehensive follow-up activities to facilitate cash collections and document activity in the appropriate system.
Maintain professional interactions with colleagues and clients.
Identify payer-specific issues and communicate them to the team and manager.
Meet performance and productivity standards while maintaining quality levels.
Use payer websites for appeals and reconsiderations, medical-record attachments, benefits verification, and web-based claims follow-up.
Research and complete special projects and requests as needed.
Participate in staff meetings and assigned continuing education.
Recommend approaches, policies, and procedures to improve departmental efficiency and services.
Maintain strict confidentiality of company, departmental, and healthcare-provider information.
Provide excellent customer service when addressing payment-related issues.
Perform other related duties as assigned.