The Accounts Receivable Coordinator position is responsible for overall AR management, coding, coding documentation and as well as any other business office projects assigned.
Essential Functions : Follows and reports on status of delinquent accounts; has plan for collection and aggressively pursues. Documents work performed and action taken.Researches and resolves client billing issues. Monitors reimbursement rates from insurance companies. Reviews daily/weekly/monthly aged receivables report for accounts that require follow-up.Follows all insurance regulations.Prepares and timely files appeals for denied or underpaid claims.Maintains strictest confidentiality; adheres to all HIPAA guidelines and regulations.Excellent oral, written and interpersonal communications skillsAudits patient accounts in practice management system and update as necessary, process refunds as needed. Perform documentation and coding audits to ensure compliance with Medicaid and other insurance guidelines. Maintains and sustains completion of tasks that are assigned to ensure corrections that are required are completed to resolve the account. Non-Essential Functions/Other Duties : Performs any other tasks assigned by management Supervisory Responsibility : Not applicable.
Travel Required : Minimal.
Physical Demands : This is largely a sedentary role, with frequent sitting and computer keyboarding (10-key) required. Some lifting (up to 35 pounds), stooping and bending are required.
Qualifications : Education: - High school diploma or equivalent.
- Prefer coursework and/or experience in medical and/or health insurance billing, medical records management.
Experience: - At least two years of previous medical insurance, billing, or claims processing related experience.
- Comprehensive understanding of accounts receivable in a healthcare setting
- Strong understanding and experience in billing processes and appeals.
- Working knowledge of managed care plans, insurance carriers, referrals and pre-certification procedures
- Strong knowledge of ICD-10, CPT, HCPCS, modifiers and coding documentation guidelines. CPT and ICD-10 certification a plus.
Skills and Competencies: - Strong keyboarding and computer skills to include MS Office (Word and Excel) experience at an intermediate level. 10-key data entry proficiency.
- Knowledge of medical coding and third-party operating procedures and practices as well as knowledge of financial concepts.
- Experience working with basic office machinery and equipment, including computers, copiers, fax machines, multi-line phone systems, etc.
- Knowledge of HIPPA privacy and security rules and regulations.
- Excellent interpersonal skills, with the ability to communicate effectively with others.
- Strong organizational skills, with the ability to multi-task and meet deadlines.
- Demonstrates initiative, with the ability to manage self and workload.
- Strong analytical and problem-solving abilities. Good mathematical aptitude.
- Exemplary customer service focus, for both internal and external clients.
- Able to work both independently and be self-directed, as well as being able to perform in a team atmosphere.
- Displays professionalism and represents organization in a professional manner.
- Ability to abide by ethical guidelines and policies, including strict adherence to confidentiality and HIPPA guidelines.
Other: - Must be 18 years old or older.