A/R Supervisor
Our client, a White Plains, NY-based medical facility, seeks a
Temp to Perm A/R Specialist. Please review this opening and let me know if you want your resume submitted.Temp to perm Senior A/R Specialist
Department/Location: Patient Accounts
Reports to: Supervisor, Patient Accounts
Pay up to $35
Position Summary
As the Senior Accounts Receivable Specialist, you are responsible for motivating the Patient Accounts team daily to provide guidance, help troubleshoot, resolve issues, and educate on the process. Assists the Supervisor and Manager with the department's daily activities to ensure department standards are regularly met, including policies and procedures being followed, as well as ensuring staff are well-versed with payer contracts. Acts as subject matter expert with EMR system, department procedures, workflows, and continually educates Patient Accounts staff on all aspects of their role, such as follow-up, special projects, and accounts receivable.
Essential Functions and Responsibilities Includes the Following:- Understands and adheres to client’s Performance Standards, Policies and Behaviors.
- Completes review of third-party outstanding balances and takes appropriate steps to resolve and reconcile outstanding
- balances striving to meet best practice performance.
- Reviews correspondence for appropriate action to resolve accounts.
- Research and initiates refunds to patients or insurance carriers as needed.
- Sends inquiries to patients regarding inaccurate or incomplete information.
- Completes charge adjustments and allowances entries on accounts as needed.
- Recodes accounts by insurance carrier and plan number and enters into the hospital EMR for re-billing purposes.
- Processes rejections on third party accounts.
- Reviews online billing edits for errors, corrections, or missing information.
- Assures adherence to federal and state billing regulations.
- Monitors host system and biller scrubber to assure timely resolution of unbilled accounts.
- Completes rebilling process for late charges daily.
- Reviews third-party remittance advice to ensure proper payment was received from the insurance carrier based on the contract arrangement.
- Works with vendors as necessary to reconcile and resolve outstanding accounts.
- Assures payers pays claims timely and according to contact provisions.
- Responsible for aging review and high-risk accounts review
- Responsible for staff training and assisting with staff performance audits following the client’s Revenue Cycle Performance Expectations.
- Responsible for quality reviews for the staff to lead team to meet goals and performance metrics.
- Responsible for reporting out to management regarding billing and claim delays.
- Responsible to escalate to management issues as identified.
- Responsible to set department and or unit meetings weekly, bi-weekly and or monthly.
- Works in conjunction with management to identify issues and trends and communicates information effectively.
- Reports on outcomes of determined processes and workflows and contributes to developing and standardizing workflows and procedures.
- Assists management and is a positive change agent in all departmental employee engagement initiatives.
- Works with staff to improve both intradepartmental and employee satisfaction, and maintains it.
- Responds to concerns and/or complaints from patients, the public, medical staff, subordinates, and/or other hospital employees pertaining to assigned areas in order to maintain positive customer relations; researches and investigates issues; prepares written or oral responses as needed.
- Assists leadership with the oversight of the preparation and maintenance of documents and information to comply with administrative policies as well as JCAHO and other regulations.
- Performs all other related duties as assigned.
