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Accounts Receivable Specialist

4 months ago

Stratford, United States Optimus Healthcare Full time
Optimus Health Care is a Federally Qualified Health Care Center with sites operating in Bridgeport, Stamford and Stratford, CT. We are the largest provider of primary health care services in Fairfield County, proudly serving all patients regardless of their ability to pay.Join our team-based model of care delivered in a kind and compassionate manner.We are currently recruiting for a ACCOUNTS RECEIVABLE SPECIALISTTo be part of our organization, every employee should understand and share in Optimus Vision, support our Mission, and live our Values. These values-outstanding, patient-centered, trustworthy, integrity, multicultural, understanding, and supportive -help guide what we do, as individuals and professionals, every day.All employees of Optimus Health Care must be fully vaccinated against COVID-19 subject only to the limited exemptions required by law.POSITION SUMMARYResponsible for performing all tasks related to the Billing, Cash posting, Follow-up, and Collections functions for Optimus Health Care.ESSENTIAL FUNCTIONS & RESPONSBILITIESResearch all information needed to complete billing processing including correction of pre billing errors to ensure compliance with regulatory guidelines.Review of claim batches, making appropriate corrections for claims to be accepted by clearing house.Post any corrections to charges to ensure integrity of account information.Analyze billing reports to ensure proper billing procedures are followed based on federal and state rules and regulations.File all claims on a daily basis (electronic claims and hard copy)Run pre-billing and correct all errors at time of billing.Post all cash payments received on a daily basis.Research and resolve all collection related activities, including working through accounts receivables to maximize reimbursement.Function as a liaison between patients and clinic staff on claims, billing questions or insurance related issues.Trace errors, record adjustments to proper account and determine the appropriate destination of unidentified funds.Respond to inquiries from 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 refunds.Effectively process all legal documentation as it relates to patient accounts.Act as a resource to Physicians, Administrators and patients regarding health insurance claim policies, procedures and requirements.Provide support to the Billing department management team on various areas of patient billing research and analysis.Work on various projects as assigned by the billing department management team.Research, trouble-shoot 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.JOB QUALIFICATIONS/REQUIREMENTSEDUCATION: High School Diploma. Certified in medical coding (CPT4 and ICD9/ICD10), Medical Billing and Procedures.EXPERIENCE: Minimum 1-2 years experience in a medical office environment. Experience with Windows applications, proficient use of computer, Microsoft Word, and Microsoft Excel. Strong communication, verbal and written and interpersonal skills. Ability to analyze and solve problems with limited assistance. Ability to maintain confidentiality.LANGUAGE SKILLS: Knowledge and use of the English language, Bi-lingual a PlusMATHEMATICAL SKILLS: Basic math skillsREASONING ABILITY: Critical thinking, analytical and problem-solving skillsLICENSURE / CERTIFICATION: CCA certification, CPC certification8am - 5pm

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