Corporate Accounts Receivable Specialist

22 hours ago


Blue Ash, Ohio, United States CommuniCare Corporate Full time
Job Title: Corporate Accounts Receivable Support, Managed Care

About the Role:

We are seeking a highly skilled Corporate Accounts Receivable Support Specialist to join our team at CommuniCare Health Services. As a key member of our revenue cycle team, you will play a critical role in ensuring timely and efficient collection of cash from managed care payors.

Key Responsibilities:

  • Assist in the timely and expedited collection of cash from managed care payors.
  • Provide corporate support for accounts receivables escalation and resolution, denials management, payment variance, and contract modeling.
  • Track and trend performance metrics for the managed care book of business and provide intervention when metrics and outcomes are not achieved.
  • Conduct root cause analysis to improve revenue and reduce denials.
  • Partner with managed care payors to identify and correct trends in over/underpayments.
  • Collaborate with internal departments to ensure contracts are set up properly in Point Click Care (PCC) and operationalized in the CBO and field.

Requirements:

  • College degree preferred, but will consider High School graduate with commensurate years of experience in healthcare billing and collections.
  • Prior billing and collection experience in Long Term Care (Skilled Nursing) required.
  • Prior knowledge of Point Click Care (PCC) preferred but not required.
  • Excellent excel skills a plus.

What We Offer:

Our company offers competitive pay, PTO, and team spirit, along with an outstanding benefits package for full time employees.



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