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Account Receivable Specialist

3 months ago

Philadelphia, United States WES Health System Full time $16
Job DescriptionJob Description


SUMMARY:

The Accounts Receivable Specialist position performs various fiscal duties. This individual will assist the Accounts Receivable Manager to ensure that the AIR Department runs efficiently. The Specialist represents and supports the fiscal policy and procedures of the office, assisting with interpretation and follow up. Works with minimal instruction or supervision.

QUALIFICATIONS:

•         High school graduate, courses in bookkeeping and/or business practices.

•         Minimum of two (2) years' experience in record processing, preferably in Accounts Receivable.

•         Data entry experience, in a Health or Business office setting, preferably with knowledge of billing processing.

•         Collection experience

MAJOR AREAS OF RESPONSIBILITIES:

Billing

•         Responsible for checking Unbilled Report for claims that can be collected prior to billing.

•         Maintains contact with Business Account Specialist regarding Encounter EITor Log collections.

•         Prepares and processes all billing of services accurately and efficiently, on assigned billing dates.

•         Checks billed files against Invoice Summary in Credible software. Note any differences on Billing Cover Sheet.

•         Updates Billing Analysis spreadsheet on a weekly basis.

•         Compares CBH's accepted files report against the Billing Analysis spreadsheet to ensure all files were adjudicated.

•         Separates CBH rejections per programs and enters them into the Credible system within 1 week of receipt.

•         Enters all rejections received from other payors (i.e. MA, Medicare, BHSI, Magellan, etc.) into Credible.

•         Prints Denial Summary report for each program and attach to CBH or other payer's rejection sheets.

Collections

•         Responsible for collection efforts for all payers.

•         Keeps track of corrections and resubmissions of rejections using Collection Efforts Worksheet.

•         Prepares all 3rd party billing claims to submit new claims and rejected claims from CBH.

Filing

•         Filing system includes, billing files created weekly for CBH, MA, Medicare, BHSI, & Magellan. All documentation must be detailed and              organized.

•         Correspondence file for all payors.

•         Separate files kept for all reports in dated order per week.

Policies & Procedures

•         Assist with the development of Accounts Receivable Policies and Procedures. Identify process enhancements and efficiencies.

•         Adheres to duties and responsibilities as outlined in the Fiscal Policies and Procedures Manual.

Day-to-Day Operations

•         Maintains accurate records and supporting materials for all Accounts Receivable billing for audit purposes.

•         Must be able to meet all deadlines that are imposed by the accounts receivable

           processing procedures.

•          Adherence to deadlines that are set by the Accounts Receivable Manager.

•         Timely alerts to Financial Management of problems or concerns affecting assignments.

•         Weekly status report - due Monday by 12:00 pm.

•         Performs other related duties and tasks as assigned by the Accounts Receivable Manager.

 

 

Company DescriptionWES Health System is a health service organization that promotes the total wellness of its patients. Based in Philadelphia, it is currently Pennsylvania’s largest African American-managed behavioral health provider, impacting more than 30,000 patients. WES Health System affords accredited health care programs and services for adults, adolescents, and children. These programs include community-based behavioral health care and social services in outpatient settings in New Jersey, Pennsylvania and Illinois. We offer a competitive benefits package and are an EEO.

The security of our job applicants is important. WES Health System will never ask a job applicant for sensitive personal or financial information unless a formal video or in person interview has been conducted.Company DescriptionWES Health System is a health service organization that promotes the total wellness of its patients. Based in Philadelphia, it is currently Pennsylvania’s largest African American-managed behavioral health provider, impacting more than 30,000 patients. WES Health System affords accredited health care programs and services for adults, adolescents, and children. These programs include community-based behavioral health care and social services in outpatient settings in New Jersey, Pennsylvania and Illinois. We offer a competitive benefits package and are an EEO.\r
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The security of our job applicants is important. WES Health System will never ask a job applicant for sensitive personal or financial information unless a formal video or in person interview has been conducted.