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Accounts Receivable Associate III

3 months ago

Winter Park, United States North Coast Medical Supply LLC Full time
About Our Company

Advanced Diabetes Supply® was founded on the bold principle of creating a knowledgeable, reliable and demonstrably superior diabetes supply company. Our approach, coupled with a commitment to service and innovation, has catapulted Advanced Diabetes Supply® to a national leader in the industry. Creating high-performance, adaptive teams requires a relentless commitment to hiring the best. We strive to maintain a casual, fun environment whenever possible, but we don't just play around. We work hard every day to provide a positive work culture and respectful atmosphere. The standards we set for ourselves are high, and we love to be challenged If you enjoy working in a collaborative environment, have a passion for excellence and a bias for action, we may be just what you've been looking for.

Interested in learning more about our company and its culture? Visit us at www.northcoastmed.com

About The Position

Hours: 8:00 AM to 4:30 PM ET, Monday to Friday

Location: Remote

The A/R Associate III is responsible for resolving Medicare claims resulting in denials. The A/R Associate III will work within the scope of responsibilities as dictated below with guidance and support from Insurance & Billing leadership teams.

Essential Functions
  • Manually posts Medicare payments received electronically into corresponding transactions.
  • Processes and corrects eligibility reports and change recalls to ensure only active Medicare patients receive supplies.
  • Ensures and verifies all auto post from EDI 835 Medicare transmittal and other remittance postings are complete, accurate, and timely.
  • Provides follow-up support for all aged transmitted Medicare claims aged more than 30 days.
  • Investigates claims from Medicare; properly resolves by follow-up and disposition.
  • Processes Medicare denials and rejections for re-submission (if possible) in accordance with company policy, regulations, and third-party regulations.
  • Reviews patient accounts and updates patient records as needed for insurance information, Medicare status, and other changes as necessary or required.
  • Accurately conveys information regarding billing/denials trends which will aide individual departments requiring billing.
  • Takes patient and insurance calls and provides accurate, satisfactory answers to their queries and concerns.
  • Offers patient assistance and support; de-escalates calls as needed.
  • Calls patients and insurance companies to inform them about the claims and billing. Complies with HIPAA rules, appropriately safeguarding PHI or other private & confidential information.
  • Mentors new hires; assists management with motivating and coaching employees to succeed.
  • Maintains accurate and detailed notes in the company system.
  • Adapts quickly to frequent process changes and improvements.
  • Is reliable, engaged, and provides feedback as to improve processes and policies.
  • Attends all department, team, and weekly company meetings as required.
  • Appropriately routes incoming calls when necessary.
  • Meets patient service quality standards.
  • Embraces and exemplifies ADS core values:
  • We grow together
  • We care
  • We obsess over the customer experience
  • We commit
  • We WOW
Other Responsibilities
  • May provide collections assistance as needed.
  • May perform any additional responsibilities or special projects as required.
  • Duties and responsibilities may be subject to change based upon the needs of the department.
Requirements
  • High School diploma or equivalent
  • 2+ years' experience with insurance billing and processing claims
  • 2+ years' experience with Medicare claims, and Medicare and private insurance verification insurance
  • Full knowledge of all areas of accounts receivable specialization
  • Basic knowledge of insurance portals; familiarity with a variety of medical and/or insurance terms or practices
  • Proficiency in basic math and business calculations
  • Working knowledge of computer/data entry with the ability to learn new systems
  • Basic level of MS Office proficiency
Expected Competencies
  • Friendly, professional, and effective communications skills; able to calmly present solutions in challenging situations
  • Effective interpersonal skills
  • Clear diction and knowledge of the English language, both written and verbal
  • Service-orientation and aptitude to resolve insurance and/or patient matters
  • Self-directed accountability and reliability
  • Cultural competence
  • Cross-trained on all accounts receivable processes
  • Able to resolve highly escalated issues or concerns
  • Able to mentor and train as needed
Physical Demands

The physical demands described below are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable employees with disabilities to perform the essential functions.

While performing the responsibilities of the job, the employee is required to remain in a stationary position most of the time (stand or sit). While performing the duties of this Job, the employee is regularly required to sit; use hands to finger, handle, or feel; and talk or hear. The employee is frequently required to stand, walk and reach with hands and arms. The employee is occasionally required to stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 15 pounds. Specific vision abilities required by this job include close vision and ability to adjust focus.

Other Requirements
  • Candidates must successfully pass a background check.
  • Candidates must be able to provide proof of eligibility to work in the United States.
Pay Range and Compensation Package

Pay ranges may vary depending on location. The general pay range for this position is $22.00 - $23.00 per hour. Actual compensation depends on education, experience, and relevant skills. In addition, benefits include:
  • Health, Dental & Vision options
  • FSA and HSA plan with Employer Contribution
  • Employer paid EAP
  • 401k with 4% Company Match
  • Discretionary Profit-Sharing Plan
  • Paid Time Off (PTO) Including 7 Paid Holidays and a Birthday Holiday
  • On-Site Gym
  • In-house Training Programs
  • A fun culture in a fast-growing organization

Equal Opportunity Statement

Advanced Diabetes Supply® provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type based on race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.