ACCOUNTS RECEIVABLE SPECIALIST

The A/R Specialist is an integral part of the Business Office team and is responsible for the effective and creative use of proven follow-up techniques, and self-directed initiative, to bill and collect payments and resolve outstanding account balances. The A/R Specialist is responsible for gathering and communicating critical information which ensures that cash collections are maximized while the level of outstanding accounts receivable is maintained at or below defined targets, which will enable the hospital to meet all known payer requirements and thereby minimize the risk of payment reduction or denial. The A/R Specialist responsibilities include the oversight and management of outstanding accounts receivable, assigned in a manner which will maximize the collection of cash and achieve the hospital's financial and Business Office performance objectives. As, the individual in this position will provide training to other Business Office staff regarding changes in billing requirements for all third party payers and is responsible for contributing to improved operations and for promoting teamwork throughout the Business Office.

MINIMUM QUALIFICATIONS

• Knowledge of ICD-10, CPT, HCPC codes and UB-04 claims required.
• Expert knowledge of billing, computers, and insurance billing software programs is required.
• Strong oral and written communication skills.
• Ability to work independently and perform critical work under deadlines.
• Should be oriented and sensitive to patient needs and aware of the importance of confidentiality of patients and employees

PREFERRED QUALIFICATIONS

• Knowledge of Medicare, Medicaid and HMO contracts as well as accounts receivable collection techniques is desired.
• Advanced knowledge of Excel preferred.

SPECIFIC PERFORMANCE RESPONSIBILITIES

All functions are essential functions unless otherwise noted. The job functions of this position are not limited to the duties listed below.

• Expedient and accurate posting of payments received, both electronically and manually.
• Document revenue from patient payments and insurance reimbursements (checks and EFT deposits) into cash log workbook, recording batch totals on payment receipt spreadsheet.
• Balance batches and run transaction reports, reconciling daily batch posting to actual entry in order to identify and resolve any discrepancies, ensuring that payment posting functions are accurate and performed on a timely basis.
• Meets all monthly and year-end fiscal closing deadlines as they relate to the cash application process.
• Ensure billing operations are performed in an accurate and timely manner; monitoring the revenue cycle activities, resolve any issues, and maintain aging accounts.
• Monitor claims for specific issues and resolution, communicating issues that are preventing timely and accurate billings to Business Office Director for performance improvement process; recommending future course of action based on data interpretation. When errors are indicated, or re-billing is needed, the required action will be completed timely, typically within 48 to 72 hours.
• Accomplish billing department objectives by measuring billing results against plans; evaluating and improving methods; implementing corrective actions.
• Provide data processing support to the Business Office team including entry of charges.
• Provide back up for other Business Office positions as needed.