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Senior Accounts Receivables Coordinator

2 months ago

Shaker Heights, Ohio, United States Wingspan Care Group Full time
Job Title: Senior Accounts Receivables Coordinator

Wingspan Care Group is seeking a highly skilled Senior Accounts Receivables Coordinator to join our team. As a key member of our revenue cycle team, you will be responsible for managing unresolved account balances, monitoring timely claims processing, and ensuring compliance with payer requirements to avoid claim rejections.

Key Responsibilities:
  • Monitor and manage unresolved account balances using the Aged Receivables and AR Console in the EHR system.
  • Stay informed about payer filing requirements and ensure timely claim submissions by coordinating with staff and leadership.
  • Track unbilled reports and collaborate with the Assistant Manager of AR to ensure timely processing of all claims.
  • Analyze error reports to identify trends and work with the Director of Revenue Cycle to develop resolution plans.
  • Review electronic ERAs, paper invoices, and other documents to validate payer transactions and resolve payment issues.
  • Monitor payers' takebacks, ensuring accurate documentation of fund sources and applications. Post all $0 ERAs (835s) and coordinate with the Assistant Manager of AR on rebillings.
  • Reconcile accounts in the EHR system, make necessary adjustments, initiate refunds, and report issues to the Director of Revenue Cycle.
  • Ensure insurance eligibility files are uploaded according to schedule and address errors with Program Managers/Supervisors.
  • Review denied claims reports, collaborate with leadership to address issues, and develop training plans to address gaps in the Accounts Receivable team.
  • Work with leadership and clinical staff to gather missing information, prepare appeals, and ensure claim submission.
  • Document and update new rates from contracts or annual amendments.
  • Verify payments against contracts, address discrepancies with the Director of Revenue Cycle or other leadership.
  • Analyze unpaid claims, determine actions in collaboration with leadership and internal departments, and handle non-collectible accounts with the Director of Revenue Cycle.
  • Document and map AR team workflows for clarity and future training purposes.
  • Support the Director of Revenue Cycle in maintaining KPIs and monitoring outstanding accounts receivable against benchmarks and departmental goals.
  • Collaborate with IT to test and set up new AR-related programs.
  • Enroll users in support systems such as Clover, Etactics, and payer portals.
  • Attend all required meetings.
  • Provide backup support for billers and cash posting specialists as needed.
Requirements:
  • Associate's Degree preferred. In lieu of degree, a High School Diploma combined with 3-5 years of relevant experience required.
  • 3-5 years related experience preferred.

Wingspan Care Group offers a competitive total rewards package, including medical, dental, and vision insurance, a defined benefit pension plan, 403(b) plan, life insurance, paid long-term disability, and generous paid time off and holidays.

We are an Equal Opportunity Employer and welcome applications from diverse candidates. Powered by JazzHR