Accounts Receivable Specialist 2 - Full Time (On Site)

CPa Medical Billing, a GeBBS Healthcare Company, is looking for a FT Accounts Receivable Specialist 2 for an on site position at our East Haven, CT location.

This position is responsible for performing all tasks related to billing, followup and collection functions for CPa Medical Billing.

• Research and resolve all third-party collection related activities, including working through accounts receivables to maximize reimbursement.
• Process all legal documentation as it relates to patient accounts.
• Research and troubleshoot accounts receivable reports and rejections, process appeals where appropriate, and make recommendation for write offs.
• Communicate other matters with providers as needed using email and copy CPa managers if warranted.
• Review charges for assigned facilities in advance of billing. Following written guidelines to review specific criteria, correct billing, and coding errors.
• Respond to inquiries from outside agencies, insurance companies to assist in claim payment processing.
• Review billing reports to ensure proper billing procedures are followed based on federal and state rules and regulations.
• Post any corrections to claims to ensure integrity of account information.
• Is responsible for accurate and timely completion of job assignments.
• Function as a liaison between patients and site staff on claims, billing questions or insurance related issues as directed by management.
• Provide support to the CPa management team on various areas of patient billing research and analysis.
• Research all information needed to complete billing processing.
• Follow up with provider responses and update charges accordingly.
• Contact medical providers via email and as needed to obtain billing and coding documentation.
• Work on various projects as assigned by the billing department management team.
• Review all charges in charge review work queue within three days of receipt.
• Research overpayments, record adjustments to accounts, and determine the appropriate destination of unidentified funds.
• Effectively process all patient and third-party correspondence, including requests for copies of claims, statements, and initiate refunds.
• Act as a resource for CPa Staff and patients regarding health insurance claim policies, procedures, and requirements.

Professional positive attitude, vision, understanding of customer service principals, trustworthiness, and excellent interpersonal skills to successfully accomplish tasks necessary to meet high standards of ethical and social responsibility required by this position.

EDUCATION

High school diploma.

Certified in medical coding (CPT4 and ICD9/ICD10).

Medical billing and procedures.

EXPERIENCE

Minimum 3-5 years’ experience in a medical office environment. Proficient use of the computer to include experience with Windows, Microsoft Word, and Microsoft Excel. Strong communication skills, both verbal and written interpersonal skills. Ability to analyze and solve problems with limited assistance. Ability to maintain confidentiality.

LANGUAGE SKILLS

Knowledge and use of the English language; bilingual is a plus.

MATHEMATICAL SKILLS

Basic math skills

REASONING ABILITY

Critical thinking, analytical and problem-solving skills

LICENSURE / CERTIFICATION

CCA or CPC in current standing.

Standard Requirements

• Quality assurance and compliance with all regulatory requirements.
• Follows up as appropriate with supervisor and coworkers regarding reported complaints, problems, and concerns.
• Supports an ethical standard which complies with a code of conduct free of conflicts of interest.
• Compliance with current law and policy to provide a work environment free from sexual harassment and all illegal and discriminatory behavior.
• Supports the mission and values of CPa. Supports, cooperates with, and implements specific procedures and programs.
• Cooperates and works together with all co-workers; plan and complete job duties with minimal supervisory direction, including appropriate judgment.
• Uses tactful, appropriate communications in sensitive and emotional situations.
• Confidentiality of all data, including patient, employee, and operations data.
• Safety, including universal precautions and safe work practices, established fire/safety/disaster plans, risk management, and security, report and/or correct unsafe working conditions, equipment repair and maintenance needs.
• Promotes positive public relations with patients, physicians and site staff.
• Supports and participates in common teamwork.

EQUIPMENT USED IN THE PERFORMANCE OF THIS JOB

Excellent PC skills including knowledge of Microsoft Office, internet use, and database management tools.

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Performing the duties of this job requires sitting or standing for long periods of time with occasional bending, stretching. or lifting. Ability to hear normal range of voice. Ability to prepare written reports and use telephone equipment.

WORK ENVIRONMENT

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. As a representative of CPa Medical Billing, incumbent must always conduct himself/herself in a professional, positive, respectful, and supportive manner.