Partnering to improve quality of life as a nonprofit organization dedicated to mental health and wellness
To perform AR related tasks in an accurate, timely and efficient manner including cash receipts, deposit, client income and eligibility verification, billing, follow-up, collection, account resolution, and the recording of AR transactions (cash, revenue adjustments, write-offs, and refunds). Respond to questions and requests for information from customers (internal and external) and work collaboratively with others in a courteous, timely, and accurate manner.
• Complete the billing process and submit accurate bills to the fund source on a monthly basis and within the filing requirements.
• Complete the deposit process on a daily basis including accurate, timely and efficient recording to the General Ledger system.
• Follow-up on all denials and past due accounts and maximize collections where possible.
• Perform the following tasks on an accurate, timely and efficient basis: client income and eligibility verification, claims editing, billing, rebilling, denial resolution, follow-up, collections, refunds, revenue adjustments, deposit, cash application, customer inquiries and reporting.
• Ensure that payer specific goals for cash collections, write-offs, and days outstanding, AR greater than 60 days, unapplied cash and billed outstanding greater than 25 days are met on a monthly basis.
• Respond to questions and requests for information from customers (internal and external) and work collaboratively with other staff, clients and/or external third-party payers in a courteous, timely, and accurate manner.
• Complete client income and/or eligibility verifications within 24 business hours of notification and inform applicable staff and/or client of status.
• Ensure all necessary information to ensure a clean bill is submitted to the carrier during the initial billing.
• Ensure AR postings reflect accurate, timely and efficient information.
• Research and resolve problems for billing failures and/or re-bills on a monthly basis for assigned specific payer groups.
• Monitor the aging for assigned payer groups on a weekly basis and take appropriate action to resolve open balances that are over 60 days.
• Submit authorization requests and enter in system when received.
• Maintain and share knowledge of specific payers to ensure compliance with billing requirements and timely update to the computer system for billing and/or reporting purposes.
• Support the AR Supervisor(s) with reporting, or other requests.
• Recommend to the AR Supervisor(s) suggested improvements, efficiencies and training needs for their area of responsibility to enhance customer satisfaction, the AR process, to eliminate duplication and increase automation.
• Other duties as assigned.
• High School diploma or equivalent required. Post high school business training desired.
• Minimum three years recent accounts receivable/customer service experience in healthcare billing and collections to include computerized billing systems, cash receipts, private collections, Medicaid, Medicare, managed care and/or traditional insurance.
• Experience in private pay collections preferred.
Knowledge, Skills and Abilities:
• Excellent customer service and interpersonal skills.
• Good working knowledge of paper and electronic billing processes.
• Ability to organize and prioritize work; detail-oriented.
• Ability to research and solve problems.
• Comfortable making billing decisions with minimal supervision.
• Able to multi-task and work in deadline-oriented environment.
• Good verbal and written communication skills.
• Able to work well independently as well as in a team setting.
• Intermediate knowledge of MS Excel, MS Word and Outlook.
We are an Equal Opportunity Employer
A MHP APPLICATION AND BACKGROUND CHECK WILL BE REQUIRED PRIOR TO EMPLOYMENT