Accounts Receivable Specialist

4 weeks ago


Philadelphia, Pennsylvania, United States WES Health System Full time
Job Summary

The Accounts Receivable Specialist position is responsible for performing various fiscal duties to ensure the efficient operation of the Accounts Receivable Department. This individual will assist the Accounts Receivable Manager in maintaining the fiscal policy and procedures of the office, interpreting and following up on fiscal matters.

The ideal candidate will have a high school diploma, courses in bookkeeping and/or business practices, and a minimum of two years of experience in record processing, preferably in Accounts Receivable. Data entry experience in a Health or Business office setting, preferably with knowledge of billing processing, is also required.

The successful candidate will be responsible for checking unbilled reports, maintaining contact with Business Account Specialists, preparing and processing billing of services, and updating billing analysis spreadsheets. They will also be responsible for collections, filing, and adhering to fiscal policies and procedures.

The Accounts Receivable Specialist will work with minimal instruction or supervision and must be able to meet all deadlines imposed by the accounts receivable processing procedures. They will also be responsible for performing other related duties and tasks as assigned by the Accounts Receivable Manager.

Responsibilities
  • Check unbilled reports for claims that can be collected prior to billing
  • Maintain contact with Business Account Specialists regarding Encounter Eitor Log collections
  • Prepare and process all billing of services accurately and efficiently, on assigned billing dates
  • Update billing analysis spreadsheets on a weekly basis
  • Compare CBH's accepted files report against the Billing Analysis spreadsheet to ensure all files were adjudicated
  • Separate CBH rejections per programs and enter them into the Credible system within 1 week of receipt
  • Enter all rejections received from other payors into Credible
  • Print Denial Summary report for each program and attach to CBH or other payer's rejection sheets
  • Responsible for collection efforts for all payers
  • Keep track of corrections and resubmissions of rejections using Collection Efforts Worksheet
  • Prepare all 3rd party billing claims to submit new claims and rejected claims from CBH
  • Filing system includes, billing files created weekly for CBH, MA, Medicare, BHSI, & Magellan. All documentation must be detailed and organized
  • Correspondence file for all payors
  • Separate files kept for all reports in dated order per week
  • Assist with the development of Accounts Receivable Policies and Procedures
  • Adhere to duties and responsibilities as outlined in the Fiscal Policies and Procedures Manual
  • Maintain accurate records and supporting materials for all Accounts Receivable billing for audit purposes
  • Meet all deadlines imposed by the accounts receivable processing procedures
  • Perform other related duties and tasks as assigned by the Accounts Receivable Manager
Requirements
  • High school graduate, courses in bookkeeping and/or business practices
  • Minimum of two (2) years experience in record processing, preferably in Accounts Receivable
  • Data entry experience, in a Health or Business office setting, preferably with knowledge of billing processing
  • Collection experience
Benefits
  • Health Care Plan (Medical, Dental & Vision)
  • Retirement Plan (401k, IRA)
  • Life Insurance (Basic, Voluntary & AD&D)
  • Paid Time Off (Vacation, Sick & Public Holidays)
  • Family Leave (Maternity, Paternity)
  • Short Term & Long Term Disability


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