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Reimbursement Collections Associate
4 months ago
BAYADA Home Health Care is seeking a Healthcare Medical Reimbursement Collections Associate to work in our Home Health Reimbursement Services office in our state-of-the-art facility in Pennsauken, NJ. Are you looking for an exciting opportunity in a fast-growing industry? Do you want to make a difference in people’s lives while you grow your career and learn the business? Then the Reimbursement Associate position might be right for you
**MINIMUM QUALIFICATIONS**:
- Exemplifies characteristics of The BAYADA Way: compassion, excellence and reliability.
- Degree preferred (combination of education and experience may be used in lieu of degree)
- Minimum of one (1) year experience with Healthcare collections/accounts receivable experience
- Experience with HCHB preferred
- Intermediate experience with Microsoft Excel
- Demonstrated record of strong interpersonal skills.
- Demonstrated record of goal achievement.
- Prior health care and home care experience is a plus.
- Competence in basic PC skills required to perform job functions.
**PRIMARY RESPONSIBILITIES**:
- Manage a dedicated accounts receivable for select payor organizations, external business or clients ensuring timely payment.
- Complete claim denial management functions to ensure timely follow-up with denied claims and complete root causes analysis to determine ways to prevent claims from denying.
- Process balance transfers, adjustment requests, refunds and corrected claims as part of accounts receivable management responsibilities.
- Complete administrative appeals and escalation of outstanding claim issues with payor organizations.
- Communication of accounts receivable status with internal customers within service office locations providing status updates with outstanding A/R, bad debt risk and requests needed to secure payment from a client or payor organization.
- Coordinate requests for additional data or workflow between internal revenue cycle departments to allow for claim payment.
- Communicate and escalate accounts receivable trends with immediate supervisor, director and management teams to ensure timely and compliant payment for services.
- Review, document and communicate any claim processing or related changes initiated by payor organizations.
- Work within multiple practice management systems, claim clearinghouse solutions and payor websites to conduct research and complete necessary workflow.
- Ability to met/exceed established performance goals
BAYADA believes that our employees are our greatest asset:
- BAYADA offers a comprehensive benefits plan that includes the following: Paid holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance, 401k with company match, direct deposit and employee assistance program
- To learn more about BAYADA Benefits, click here
**As an accredited, regulated, certified, and licensed home health care provider, BAYADA complies with all state/local mandates.
