What are the responsibilities and job description for the Accounts Receivable Specialist (Patient Accounting) position at Asante?
Position Summary
The Accounts Receivable Specialist performs account analysis and functions required to receive reimbursement from governmental and non-governmental insurance carriers in an efficient, productive and compliant manner following departmental policy and procedures. They also work proactively, assisting the public with medical financial responsibilities in a way which will provide continual success for the Asante organization.
As an Accounts Receivable Specialist at Asante, you will have the opportunity to:
Education
At Asante We Believe That We Are Defined By Our Values - The Traits That Guide Us As We Serve Patients And The Community
Excellence - Respect - Honesty - Service - Teamwork
Asante is an equal opportunity employer. We are committed to employ and advance in employment women, minorities, qualified individuals with disabilities and protected veterans.
The Accounts Receivable Specialist performs account analysis and functions required to receive reimbursement from governmental and non-governmental insurance carriers in an efficient, productive and compliant manner following departmental policy and procedures. They also work proactively, assisting the public with medical financial responsibilities in a way which will provide continual success for the Asante organization.
As an Accounts Receivable Specialist at Asante, you will have the opportunity to:
- Consistently complete all standard and special monthly aging reports contributing to Asante's financial success by requiring reimbursement from insurance carriers in a timely manner. Check status of claims by telephone, insurance websites, MMIS, FISS, ePremis, and/or other means available. Maintains secure passwords with multiple insurance carriers for access to websites.
- Consistently complete weekly Medicare credit balance report. Adjust claims on the Medicare Florida Shared System as needed to resolve credit balances. Takes appropriate action on all Medicare and Medicaid credits within 45 days.
- Consistently complete review of daily late charge report to determine if Medicare or Medicaid accounts require adjustments to add or remove charges that were not reflected on the original claim submission. Provides information to Supervisor concerning departmental trends in late charges. (Late charges for all other carriers are worked by the Patient Account Reps).
- Review denial reports and take back reports for governmental and non-governmental insurance carriers, in electronic and other formats, & takes appropriate action on accounts. Review any vouchers, remittance advice and explanation of benefits given by the cashiering staff. Take appropriate action on accounts denied for non-covered service or procedure, no preauthorization, timely filing, coding issues and other line item denials.
- Review monthly status report from Medicaid Adjudication Service for Medi-Cal & Other States Medicaid accounts. Works line item denials and accounts with balances. Provides requested information to Medicaid Adjudication Service staff as requested.
- Distribute appropriate copies of vouchers, remittance advice and explanation of benefits to Patient Account Reps for items to be worked. This may include denials for missing medical records, chart notes, other carrier explanation of benefit copies, invalid Subscriber identification numbers, or additional information needed from the patient.
- Serve as the AR Specialist Lead or ARS Coordinator on monthly rotation.AR Specialist Lead will assist with task related issues in their area. ARS Coordinator will assign duties as needed to cover for vacations or absent staff.
- Monitor claim rejections for trends and issues, and reports findings to supervisor.
Education
- High school diploma, GED, or equivalent experience demonstrating the ability to effectively communicate as needed for the position is required
- Associate or Bachelor Degree, preferred
- Prior experience in medical billing or accounting/business office function is required
- Earn a competitive and progressive salary.
- Benefit from health plans that focus on health and wellness including medical, dental, vision and wellness beginning within 30 days of hire.
- Plan for your future with a retirement package that includes up to 6% employer contribution.
- Experience a healthy work-life balance with our generous earned time off (ETO).
- Continue to enhance your education through our tuition reimbursement and tuition repayment plans.
At Asante We Believe That We Are Defined By Our Values - The Traits That Guide Us As We Serve Patients And The Community
Excellence - Respect - Honesty - Service - Teamwork
Asante is an equal opportunity employer. We are committed to employ and advance in employment women, minorities, qualified individuals with disabilities and protected veterans.
