Accounts Receivable Specialist - Full Time (M)

Overview

Accounts Receivable Specialist - Full Time (Hybrid)

GeBBS Healthcare Solutions is looking for a FT Accounts Receivable Specialist.

Role initially will be in office, moving to a hybrid work environment. Candidate will need to be located near our East Haven, CT office. This is an employee status (W-2) position, working Monday - Friday days.  

Responsibilities

This role will be responsible for performing all tasks related to billing, followup and collection functions.

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

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.

Qualifications

• Must have at least 3-5 years' experience in a healthcare office environment.
• Proficiency with Microsoft Office Suite.
• Basic math skills required.
• Must have excellent communication (both verbal and nonverbal) skills.
• Strict adherence to HIPAA guidelines is mandatory.
• US-based candidates only.