Receivables Management Specialist
2 weeks ago
POSITION SUMMARY:
The Receivables Management Specialist is responsible for executing various financial operations. This role supports the Receivables Manager in ensuring the AIR Department operates smoothly. The Specialist embodies and upholds the financial policies and procedures of the organization, aiding in interpretation and follow-up tasks. This position requires the ability to work independently with minimal guidance.
REQUIREMENTS:
• High school diploma with coursework in bookkeeping and/or business administration.
• At least two (2) years of experience in record management, ideally within Accounts Receivable.
• Proficient data entry skills in a healthcare or business office environment, with familiarity in billing processes.
• Experience in collections.
KEY RESPONSIBILITIES:
Billing Management
• Review the Unbilled Report for claims eligible for collection prior to billing.
• Maintain communication with the Business Account Specialist regarding Encounter Error Log collections.
• Accurately prepare and process all service billing on designated billing dates.
• Verify billed files against the Invoice Summary in Credible software, noting discrepancies on the Billing Cover Sheet.
• Update the Billing Analysis spreadsheet weekly.
• Cross-check CBH's accepted files report with the Billing Analysis spreadsheet to confirm all files were adjudicated.
• Organize CBH rejections by program and enter them into the Credible system within one week of receipt.
• Input all rejections from other payors (e.g., MA, Medicare, BHSI, Magellan) into Credible.
• Generate Denial Summary reports for each program and attach them to CBH or other payer rejection sheets.
Collection Activities
• Oversee collection efforts for all payers.
• Track corrections and resubmissions of rejections using the Collection Efforts Worksheet.
• Prepare all third-party billing claims for new submissions and rejected claims from CBH.
Filing System
• Maintain a filing system that includes weekly billing files for CBH, MA, Medicare, BHSI, and Magellan, ensuring all documentation is detailed and organized.
• Organize correspondence files for all payors.
• Keep separate files for all reports in chronological order per week.
Policy Development
• Assist in creating Accounts Receivable Policies and Procedures, identifying process improvements and efficiencies.
• Adhere to responsibilities outlined in the Fiscal Policies and Procedures Manual.
Daily Operations
• Maintain accurate records and supporting documents for all Accounts Receivable billing for audit purposes.
• Meet all deadlines established by the accounts receivable processing procedures.
• Comply with deadlines set by the Accounts Receivable Manager.
• Promptly notify Financial Management of any issues or concerns affecting assignments.
• Submit a weekly status report by Monday at 12:00 pm.
• Perform additional related duties as assigned by the Accounts Receivable Manager.
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