Accounts Receivable Specialist

2 weeks ago

Branford, United States New England Orthotic and Prosthetic Systems Full time

**Overview**: The Accounts Receivable Specialist will assist in ensuring that the company receives payment for goods and services offered to clients. **Responsibilities Include but are not limited to**:

- Prepares, posts, verifies, and records customer payments and transactions related to accounts receivable.
- Investigates and resolves denied claims in a timely manner.
- Work and manage commercial and Medicaid claims from all aging buckets including posting, appeals, and ADRs.
- Download and review electronic and paper EOBs for denied claims and line-item denials.
- Identifies and reviews delinquent accounts and pursues collection as needed.
- Responsible for all follow-through efforts performed and documented in a timely manner within compliance.
- Coordinates medical record requests with the main office for appeal purposes.
- Communicate accurate patient and billing information to the Insurance carrier.
- Prepare weekly reports to review with management with updated status and communication.
- Reviews explanation of benefits and adjusts accounts according to contracted rates for accurate AR.
- Demonstrated computer proficiency with knowledge of Microsoft Office.
- Maintains the strictest confidentiality and adheres to all HIPAA guidelines/regulations.
- Performs other related duties as assigned.

**Skills/Requirements**:

- Strong knowledge of medical insurance, billing guidelines, and compliance.
- Knowledge of medical terminology, experience in orthotics and prosthetics preferred.
- Practice management software experience highly preferred
- Waystar, OPIE, and Medflex experience a plus.
- Knowledge of how to navigate NY Medicaid and CT Medicaid portals.
- Knowledge of the ePaces portal is highly preferred.
- Experience working with billing/AR claims including NY Medicaid.
- Demonstrates professional and positive communication with interpersonal skills.
- Must be highly detail-oriented with the ability to handle multiple tasks.
- High attention to detail and ability to problem solve claim resolution.
- Experience in driving process improvement.
- Bi-lingual (Spanish), a plus.

**Education and Experience**:

- High school graduate or equivalent required; Associate degree or equivalent preferred.
- Experience working in a medical practice/healthcare setting; at least 2 years preferred.
- Orthotic & Prosthetic field experience necessary, at least 2 years preferred.

Pay: $21.00 - $23.00 per hour

Expected hours: 30 - 40 per week

**Benefits**:

- 401(k)
- 401(k) matching
- Dental insurance
- Disability insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance

Experience level:

- 2 years

Schedule:

- Day shift
- Monday to Friday

Work Location: In person

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