Accounts Receivable Specialist

3 weeks ago


Watsonville, California, United States Salud Para La Gente Full time
Job Summary

At Salud Para La Gente, we are seeking an experienced Accounts Receivable Specialist to join our team. As a key member of our financial services department, you will be responsible for processing patient revenue, managing refunds and credits, and ensuring accurate and timely payment processing.

Responsibilities
  1. Process all assigned account receivables, ensuring accurate and timely payment processing.
  2. Review and deposit all checks received, maintaining up-to-date insurance EOB and remittance advice files.
  3. Apply patient revenue payments in the practice management system using the proper payment source.
  4. Assign denial codes to claims denied in the practice management system, ensuring compliance with policy procedures.
  5. Ensure all payments and denials are entered in the practice management system in a timely manner.
  6. Maintain deposit reconciliation journals daily, ensuring proper reconciliation of deposits.
  7. Analyze workflow and provide suggestions for improvement, ensuring efficient and effective processing.
  8. Communicate with the Controller regarding incoming state revenue, ensuring accurate and timely reporting.
  9. Prepare and reconcile monthly reconciliation reports, submitting to the Controller.
  10. Collaborate with the billing department to identify unpaid claims and ensure timely resolution.
  11. Identify and submit refunds to patients and insurance companies, ensuring proper recoupment process.
  12. Log and report payment withholds, ensuring accurate and timely processing.
  13. Review and allocate credit balances based on payer source, ensuring accurate and timely processing.
  14. Identify and report payer rate changes and inconsistencies in payments, ensuring compliance with policy procedures.
  15. Review returned patient financial correspondence and coordinate address corrections.
  16. Assist in preparing reports for financial audits, ensuring accurate and timely reporting.
  17. Collaborate with the billing department to resolve claim payment and EOB-related issues.
  18. Provide necessary EOB files to the billing department for proper claim submission.
  19. Maintain electronic ERA and EFT setups with payers, ensuring accurate and timely processing.
  20. Assist with confidential agency financials, utilizing a high level of discretion and confidentiality.
  21. Ensure a productive work environment and achievement of goals through strategies and practices aligned with the CARE fundamentals of communication.
  22. Consistently adhere to and/or exceed SPLG's communication guidelines and expectations with internal and external customers.
Requirements
  • High School Diploma
  • One year of health insurance-related accounts receivable experience, preferred
  • One year of health insurance billing experience, preferred
  • Bilingual Spanish/English
  • Knowledge of Accounts Receivables cycle, experience preferred
  • One year of experience with standard medical coding, CPT, and ICD-10, preferred
  • Proficient in relevant computer applications, including health-related accounting software
  • Must be highly detail-oriented
  • Background check required
Working Conditions

Standing, walking, sitting, typing, reaching, bending, moving, and/or lifting up to 25 pounds.

Salary and Benefits
  • $20.36 - $24.80/hour
  • Benefits: Holiday Pay and CA Sick Pay, prorated per hours worked


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