Responsible for the aggressive and tenacious pursuit of complete, accurate healthcare account receivables and collections.

Experience with medical / pediatric billing, AR Follow-up to include denial management, insurance follow-up, self-pay process & bad debt.

It is critical that this individual develop and maintain good relationships with practice employees, managers, providers, vendors, and payers.

Compensation : $20 - $24 hourly

$20 - $24 hourly

Responsibilities :

• Responsible for A / R management to facilitate collections
• Proactively monitors accounts for reimbursements from third-party and government payers
• Collaborate with the RCM team to plan and identify solutions to successfully reduce AR Aging
• Prepares and analyzes accounts receivable reports, weekly and monthly financial reports
• Follows best practice requirements and maintains a positive relationship with other RCM team members
• Implements processes and action plans set forth by the Practice Administrator
• Monthly adjustment review in EHR
• Assist with payment posting and reconciliation of payments to bank deposits, EHR system, and all payment systems to ensure all payments are received and accounted for
• Utilization of practice management software and business intelligence software to identify non-payment trends, identify A / R risk, lower denials and decrease write-offs
• Ability to develop, manage relationships, and work cross-functional with other teams within the organization and revenue cycle as well as work with all departments to build and drive organizational strategies and growth
• Ensure insurance reimbursement and payer compliance
• Perform any other office duties as assigned by the Practice Administrator
• Oversight of collection agency process
• Excellent patient financial counseling and patient billing inquiry

Qualifications :

• High School Diploma
• 3-5 years of Medical Account Receivables experience
• 3-5 years of EHR experience. Epic required
• 3-5 years of claims management experience including claim submissions, rejections, edits, statuses, and monitoring clearinghouse activity
• Deep understanding of payer reimbursement, performance, and updates
• Payment posting experience
• Effective skills include critical thinking, decision-making, relationship building and problem-solving
• Deep understanding of third-party and government payers to include Medicare and Medicaid
• Excellent written, oral, and reading communication skills
• Microsoft Office Suite skill

About Company

Maeville Pediatrics is a place where children can feel at home while receiving top-quality health care in a comforting setting.

Dr. Sissa has been practicing pediatrics for nine years, is now making this dream of hers a reality with the opening of a private practice, Maeville Pediatrics.

Last updated : 2024-07-02