Accounts Receivable Specialist

4 weeks ago


Springfield, Massachusetts, United States The MH Group, LLC Full time

We are seeking a detail-oriented Accounts Receivable Specialist to manage financial transactions related to receivables. As an AR Specialist, you will play a crucial role in processing invoices, reconciling accounts, and ensuring timely collections.

Responsibilities:
  • Reviewing and Approving OTP Billing: Ensure accurate and timely processing of billing transactions related to outpatient treatment programs (OTP).
  • Investigating Denials and EOB (Explanation of Benefits): Analyze claim denials and EOBs to identify discrepancies and resolve issues promptly.
  • Understanding Medicare and ACO/MCOs: Stay informed about Medicare regulations and managed care organizations (ACO/MCOs) to optimize billing processes.
  • Payment Rate Reconciliation: Verify payment rates against contractual agreements and reconcile any discrepancies.
  • Conducting Audits and Claims Reviews: Perform audits on assigned claims, ensuring compliance and accuracy.
  • Processing High-Volume Billing Denials: Handle both manual and electronic processing of billing denials efficiently.
Requirements:
  • Experience: 2-3 years of experience in accounts receivable or billing in the behavior health field required.
  • Education: High School Diploma or GED (required).
  • Medical Billing Knowledge: Proficiency in CPT, ICD-10, and HCPC coding, along with familiarity with medical terminology. Overall understanding of managed care products (HMO, PPO, ACO, MCO, etc.).
  • Independence and Remote Work: Ability to work independently and remotely while maintaining daily and monthly routines. Commitment to preserving the integrity of electronic health records (EHR).
  • EOB Understanding: Skilled at reading and comprehending explanations of benefits (EOBs).
  • Medicare and Medicaid Expertise: Strong working knowledge of Medicare and Medicaid benefits.
  • Analytical and Problem-Solving Skills: Ability to analyze complex billing scenarios and solve related issues.
  • Attention to Detail: Meticulous attention to detail in billing processes.
  • Team Player: Collaborative attitude and ability to work effectively within a team.
  • Positive Attitude and Time Management: Demonstrates a positive outlook and effective time management skills.
  • Microsoft Office Competency: Basic proficiency in Microsoft Word and Excel.
  • Accurate Record Keeping: Maintains precise billing records, generates reports, and identifies discrepancies.
  • Accounts Receivable Management: Competent in monitoring AR and ensuring correct payment rates from payers.

The MH Group, LLC is seeking a skilled Accounts Receivable Specialist to join our team.


  • Accounting Specialist

    1 month ago


    Springfield, Massachusetts, United States Accounting Now Full time

    Accounting Specialist OpportunitySNI Companies is partnering with a well-respected organization in the Greater Springfield area to fill a new Accounting Specialist role.This organization is growing and making a positive impact in the community, and this role will play a key part in meeting their clients' needs. The ideal candidate will have experience in...

  • Accounting Specialist

    4 weeks ago


    Springfield, Massachusetts, United States The Computer Merchant Full time

    Job Title: Accounting SpecialistAt The Computer Merchant, we are seeking an experienced Accounting Specialist to join our team. The ideal candidate will have a strong background in accounting principles and practices, with a focus on financial reporting and analysis.Key Responsibilities:Prepare and review financial statements, including balance sheets,...


  • Springfield, Massachusetts, United States Sun Gro Horticulture Full time

    Job SummarySun Gro Horticulture, a leading North American horticultural company, seeks a skilled Account Payable Specialist to join its team. This role is responsible for processing exception-based invoices in the Procure to Pay (P2P) platform, ensuring accuracy and timeliness. The ideal candidate will possess strong organizational skills, attention to...


  • Springfield, Massachusetts, United States Civility Home Care Full time

    The Financial Operations Specialist at Civility Home Care plays a vital role in ensuring the accuracy and efficiency of our organization's financial and administrative services. This position is responsible for providing support in data entry, accounts receivable and payable, bank reconciliations, and other assigned tasks. The ideal candidate will possess...


  • Springfield, Massachusetts, United States Accounting Now Full time

    We are seeking a highly skilled Accounting Specialist to join our team at Accounting Now. As a key member of our finance department, you will be responsible for preparing and performing invoices, journal entries, and check requests.Key Responsibilities:Manage financial schedules and prepare budgets for real estate development projects.Create and send...


  • Springfield, Massachusetts, United States Rockys Ace Hardware Full time

    We are seeking a highly skilled Accounting Manager to join our team at Rockys Ace Hardware. If you have a passion for accounting, finance, and data analytics, this could be the perfect opportunity for you.Key Responsibilities:As an Accounting Manager, you will be responsible for managing accounts payable for multiple stores, assisting with accounts...


  • Springfield, Massachusetts, United States Springfield Public Schools Full time

    Job Summary:The Springfield Public Schools is seeking a highly skilled Orientation and Mobility Specialist to join our team. As a key member of our educational support staff, you will play a vital role in ensuring that visually impaired students receive the support they need to succeed in the classroom.Key Responsibilities:Assess and develop individualized...


  • Springfield, Massachusetts, United States Creative Financial Staffing Full time

    **Student Accounts Representative Position**We are seeking a motivated Student Accounts Representative to join the bursar's office of a respected college in Springfield, MA. As a Student Accounts Representative, you will provide essential support to the student accounts department by handling accounts receivable, managing student billing, and assisting with...


  • Springfield, Massachusetts, United States Innovative Renal Care Full time

    As a Dialysis Nurse Specialist at Innovative Renal Care, you will be part of a multi-disciplinary team providing safe and effective dialysis therapy for assigned patients under the direct supervision of a registered nurse. Your role will be focused on building strong relationships with patients and their families, creating a positive impact on their...


  • Springfield, Massachusetts, United States Thom Child And Family Services Full time

    Job Title: Developmental SpecialistThom Child & Family Services is seeking a Developmental Specialist to join their team. As a Developmental Specialist, you will be responsible for providing home and community-based early intervention services to infants and toddlers who have or are at risk for developmental delays and their families.Key...


  • Springfield, Massachusetts, United States Thom Child and Family Services Full time

    Job Title: Child Development SpecialistThom Child and Family Services is seeking a skilled Child Development Specialist to join their team. As a Child Development Specialist, you will work with infants and toddlers who have developmental delays or are at risk for delays, providing individualized and culturally humble services to support their growth and...

  • Dental Specialist

    4 weeks ago


    Springfield, Massachusetts, United States AMN Healthcare Full time

    Job OpportunityAMN Healthcare is seeking a skilled Dental Specialist to provide locum tenens support at a dental office in Springfield. The ideal candidate will have experience in general and restorative dentistry, with a strong focus on patient care and satisfaction.Job DetailsSchedule: Monday - Friday 8:00 am - 5:00 pmJob Setting: Dental OfficeTypes of...


  • Springfield, Massachusetts, United States Greater Springfield Senior Services, Inc. (GSSSI) Full time

    Job SummaryWe are seeking a highly skilled and compassionate Protective Services Support Specialist to join our team at Greater Springfield Senior Services, Inc. (GSSSI). This role will play a critical part in supporting at-risk adults and ensuring their safety and well-being.Key ResponsibilitiesAssist Protective Services department staff with case...


  • Springfield, Massachusetts, United States Balise Auto Full time

    Job Summary:CVR/Registry Specialist at Balise AutoThe CVR/Registry Specialist works closely with our sales and finance managers to register vehicles and provide exceptional customer service. This role requires attention to detail, strong communication skills, and the ability to multitask in a fast-paced environment.Key Responsibilities:Registering vehicles...

  • Account Manager

    4 weeks ago


    Springfield, Massachusetts, United States Interstate Building MTC, Inc. Full time

    Job Summary:We are seeking a highly motivated and experienced Account Manager to join our team at Interstate Building MTC, Inc. As a key member of our commercial cleaning services team, you will be responsible for managing daily activities at multiple account sites, ensuring the highest degree of customer satisfaction.Key Responsibilities:Plan, organize, and...


  • Springfield, Massachusetts, United States White Glove Placement Full time

    Job Title: RN - Telemetry/PCU SpecialistJob Summary: We are seeking a skilled Registered Nurse to join our team as a Telemetry/PCU Specialist. The ideal candidate will have a valid RN license and a minimum of 2 years recent RN experience in clinical rotations. Key Responsibilities:Provide high-quality patient care in a Telemetry/PCU setting.Collaborate with...

  • Education Specialist

    4 weeks ago


    Springfield, Massachusetts, United States Springfield Public Schools - MA Full time

    Job SummaryAs an Education Specialist at Springfield Public Schools - MA, you will play a vital role in creating a supportive and inclusive learning environment for students with moderate disabilities. Your primary responsibility will be to plan and implement a program of study that meets the individual needs, interests, and abilities of your students.Key...


  • Springfield, Massachusetts, United States Thom Child And Family Services Full time

    Job Title: Child Development SpecialistThom Child and Family Services is seeking a skilled Child Development Specialist to join their team. As an Early Intervention Social Worker/Clinician, you will be responsible for providing home and community-based early intervention services to infants and toddlers who have or are at risk for developmental delays and...


  • Springfield, Massachusetts, United States Vitra Health Full time

    About the Role:Vitra Health is a leading provider of home health care services, dedicated to delivering high-quality care to adults and seniors. We are seeking a skilled Caregiver Support Specialist to join our team in the Greater Springfield Area. As a key member of our social services team, you will play a vital role in supporting our clients and their...

  • Cheese Specialist

    4 weeks ago


    Springfield, Massachusetts, United States Big Y Full time

    Job DescriptionAs a Cheese Specialist at Big Y, you will play a key role in providing exceptional customer service and building strong relationships with our customers. Your passion for cheese and ability to educate customers on our products will be essential in driving sales and achieving operational goals.Key Responsibilities:Customer Service: Assist...