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Senior Accounts Receivable Representative

1 month ago

Glen Allen, United States Master Center for Addiction Medicine Full time
Job DescriptionJob Description

Master Center for Addiction Medicine is seeking a full-time Senior Accounts Receivable Representative to conduct Billing and AR activities for our outpatient addiction treatment practice. If you have experience with billing and claim resolution, love jumping in to solve problems and enjoy helping people, this could be a great fit for you The ideal candidate will possess drive, initiative, a collaborative attitude and teachability. We are looking for someone who loves to problem solve and is not afraid of a challenge. The Accounts Receivable Representative’s responsibilities may include billing insurance claims for providers, account level payment posting activities, follow-up activities with insurance companies on claim status, resolving payor denials, and patient accounting customer service. Communication skills and customer service skills are a must

Master Center for Addiction Medicine is a private, outpatient addiction medicine treatment center headquartered in Glen Allen, Virginia. We have additional offices in Hampton, Gloucester, Chesterfield and are opening offices in other areas of Virginia. Our approach to addiction is comprehensive, evidence-based and individualized, drawing on every tool that has been proven effective: medical treatment, education, psychiatry, professional counseling, testing/monitoring and peer support services. Our aim is not just to treat patients but to heal them – by helping each one find his or her way to lifelong recovery.

DESCRIPTION: The Senior Accounts Receivable Representative works under the direction of the Director of Revenue Cycle Management.  Responsibilities include billing physician insurance claims, account level cash posting activities, follow-up activities with insurance companies on claim status, resolving payor denials, and patient accounting customer service.   This role will also mentor and teach junior staff.   

DUTIES AND RESPONSIBILITIES: 

  • Payment Posting, Follow-Up and Collections. 

  • Performs insurance billing and follow-up activities in an effective and timely manner. 

  • Coordinates with departments and customers to validate information to ensure appropriate billings. 

  • Reviews account activities and provides consistent, detailed, and relevant information to secure payment from government and third-party insurance payors. 

  • Interprets and posts all payments to the patient account from Electronic Remittance Advices, and other accounts receivable receipts received. 

  • Performs accounts receivable follow-up responsibilities, including documentation of claim status and resolution of payor denials.  

  • Performs customer service activities and responds to patient inquiries related to account balances and payment options. 

  • Maintains HIPAA Compliance by protecting Patient Health Information according to established policies and procedures. 

  • Represents Master Center in a positive and professional manner at all times. 

  • Other projects and duties as assigned.   

Performance Standards 

1. Competence and Collaboration. The employee consistently demonstrates a positive work ethic, teamwork, commitment to the organization and compassion. The employee actively participates in all required training and meetings. The employee keeps their supervisor informed of important issues related to the revenue cycle and billing. 

2. Compliance.  The employee understands compliance for healthcare, licensing and health plan programs such as ARTS and incorporates as part of all new or improved programs.  Develops and implements audit programs to monitor Master Center’s adherence to compliance programs.   

3. Knowledge.  The employee consistently demonstrates knowledge of policies, procedures, operating guidelines, and evidence-based best practices. The employee maintains compliance with all regulations and accreditation standards. 

4. Direct Services. The employee will provide person-centered individual billing services. 

Required Skills:   

  • Strong problem-solving skills, high attention to detail and an aptitude for learning. 

  • Strong organizational skills required. 

  • Must provide exceptional customer service and professional communications to patients, colleagues, insurance entities, and professional staff. 

  • Ability to communicate detailed and relevant data. 

  • Ability to perform a variety of duties and work within a structured environment. 

  • Work history in Behavioral Health highly preferred. 

  

TRAININGS, EXPERIENCE, and CERTICATIONS:  

  • Medical Billing and Coding Certificate preferred. 

  • eClinicalWorks and Trizetto experience preferred. 

MINIMUM QUALIFICATIONS: More than 5 years’ in Healthcare Revenue Cycle Accounts Receivable experience strongly preferred. 

Must possess a strong understanding of revenue cycle operations in the following functional areas: intake, registration, insurance eligibility and benefit verification, coordination of benefits, payor participation status, and payor rules and regulations. 

At Master Center for Addiction Medicine, we transform the lives of our patients. We transform the model of care for the addiction treatment industry. And we are transforming the landscape of addiction treatment through innovation and growth. Join us in our mission and make a true impact on people, families and your community

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