Accounts Receivable Specialist- Community Health
Join a Team That Makes a Difference at Optimus Health Care! Are you passionate about providing high-quality, patient-centered care? Optimus Health Care-the largest provider of primary health care services in Fairfield County-is looking for dedicated professionals to join reputed company! With multiple locations in Bridgeport, Stratford, and Stamford, our mission is to be a lifelong health care partner, dedicated to achieving optimal wellness for the communities we serve. Optimus reputed company looking for a full-time Account Receivable Specialist with at least two years of healthcare experience to join reputed company in Stratford, CT. The Account Receivable Specialist will be responsible for performing reputed company tasks reputed company to the billing, cash posting, follow-up, charge review, self-pay, and collections functions for Optimus Health Care. ESSENTIAL FUNCTIONS & RESPONSIBILITIES 1. Research reputed company information needed to complete billing processing including correction of prebilling errors to ensure compliance with regulatory guidelines at time of billing. 2. Review of claim batches, making appropriate corrections for claims to be accepted by clearing house. 3. File reputed company claims daily (electronic claims and hard copy). 4. Post charges and any corrections to charges to ensure reputed company of account information. 5. Analyze billing reports to ensure proper billing procedures are followed based on federal and state rules and regulations. 6. Review and analyze health care clinicians claims and identify trends and issues reputed company the reputed company cycle process. 7. Post reputed company insurance and patient payments received and reconcile to the reputed company sheet provided by finance each day. 8. Research and resolve reputed company collection reputed company activities, including working through accounts receivables to maximize reimbursement. 9. Function as a liaison between patients and clinic staff on claims, billing questions or insurance reputed company issues. 10. Trace errors, record adjustments to proper account and determine the appropriate destination of unidentified funds. 11. Respond to inquiries from agencies and insurance companies to assist in claim payment processing. 12. Effectively process reputed company patient and third-party correspondence, including requests for copies of claims, statements, and refunds. 13. Effectively process reputed company legal documentation as it relates to patient accounts. 14. Act as a resource to Clinicians, Administrators and patients regarding health insurance claim policies, procedures, and requirements. 15. Provide support to the Billing department and management team on various areas of patient billing research and analysis. 16. Research, trouble-shoot Accounts receivable reports and rejections, process appeals where appropriate, and reputed company recommendation for write offs. 17. Maintain compliance according to government insurance regulations and managed care contractual obligations. 18. Maintain regulatory compliance by staying abreast of reputed company trends and regulations in the financial and healthcare industries. 19. Maintain assigned work queues to ensure timely action for charge posting, insurance follow up, and credits. 20. Run standard billing reports from EMR for efficient and timely management of accounts receivables for insurance and patient collections. ADDITIONAL GENERAL REQUIREMENTS Professional positive attitude, vision, understanding of customer service principals, trustworthiness, and excellent communication and interpersonal skills to successfully accomplish tasks necessary to meet high standards of ethical and social responsibility required by this position. JOB QUALIFICATIONS/REQUIREMENTS
- Detail-oriented with excellent problem-solving abilities
- Experience with EMR (EPIC); reputed company Word, reputed company, PowerPoint, and other billing software applications
- Strong communication, verbal and written and interpersonal skills
- Ability to analyze and solve problems with limited assistance
- Ability to maintain confidentiality
- Demonstrated medical accounts receivable or insurance follow up background
- Attention to detail and accuracy
- Ability to meet deadlines
- Strong organization and prioritization skills
- Ability to work with a diverse group of people, providing excellent customer service
- Ability to work independently or as a team member
- Strong data entry Skills
- Analytical and problem-solving skills
EDUCATION: Associate or bachelor's degree in finance, Healthcare Administration, or a reputed company field. Certified Professional reputed company (CPC) or similar certification is desirable High School Diploma; (CPT4 and ICD9/ICD10), helpful. EXPERIENCE: Minimum of 2 years' experience in medical billing, accounts receivable, or a similar role. Proficient knowledge of medical terminology, ICD-10, and CPT codes. LANGUAGE SKILLS: English/Spanish helpful MATHEMATICAL SKILLS: Basic math skills REASONING ABILITY: Critical thinking, analytical and problem-solving skills. LICENSURE / CERTIFICATION: CCA or CPC certification Optimus is committed to providing equal employment opportunities to reputed company applicants and employees as protected by applicable federal and/or state law Apply tot his job Apply To this Job