What are the responsibilities and job description for the Medical Accounts Receivable Manager position at Carolina Family Services?
Carolina Family Services is looking for an experienced Medical Billing Claims Manager. The candidate will have proficiency in the medical insurance billing process, as well as an understanding of coding systems and ability to adhere to billing deadlines. This position is a great opportunity for an experienced individual who is seeking a challenging and rewarding work environment. Our ideal candidate can work independently, is detailed oriented, analytical, and business-minded. The position is full-time with benefits.
Benefits:
- Competitive Pay, Bonuses, and Profit-Sharing Opportunities
- Flexible Schedule with Paid Holidays, PTO, and Med Flex Opportunities
- Advancement Opportunities
- Employee Recognition Program
- Paid Employee Social Events/Outings
- Community Engagement Opportunities
Responsibilities
- Enter and review claim data prior to claim submissions, including but not limited to: patient demographics review, insurance verification, ICD-10 usage and pointers, CPT code assignment, modifiers, and place of service.
- Review and bill open current claims within timely filing limits.
- Submit third-party payer claims.
- Post both insurance and patient payments.
- Check the status of denied claims.
- Submit Corrected Claims, Disputes, Reconsiderations and Appeals in timely manner according to payer guidelines.
- Review and submit primary EOBs to the secondary payer for processing.
- Monitor insurance accounts receivable and follow up on all aged claims.
- Coordinate with client to retrieve missing or incorrect information in a timely fashion.
- Maintain comprehensive knowledge of insurance filing and relationship to ICD-10 and CPT coding conventions.
- Review medical record documentation to identify all services provided by physicians.
- Research charge processing and coding issues; review classification situations to determine the most appropriate codes.
- Must be flexible and willing to help in other areas of the office as needed.
- Other job duties as requested.
Required Qualifications
- High school diploma with a college degree being preferred
- Medical Coding Certification with one of the following certifications: CPC, COC, CPB, CPEDC, from AAPC OR CCA, CCS-P, CCS, RHIT from AHIMA
- 2 years pediatric medical billing and coding experience
- 2 years South Carolina Medicaid experience including an advanced knowledge of South Carolina Medicaid billing rules, modifier usage, place of service considerations, and ability to research specific payer rules.
- 1 year denials and appeals experience
- 1 year accounts receivable experience
- ICD 10 knowledge
- Excellent grammar and communication skills, both written and verbal
- Computer savvy, able to work in various programs with great data entry skills
- Organized
- Detailed oriented
- Able to multi-task
Carolina Family Services (CFS) is a multi-disciplinary practice with physical offices in Greenville, Spartanburg, and Williamston, SC. Our organization is CARF accredited and highly recognized for our commitment to providing a wide array of quality services to effectively meet the needs of children and families in our community.
Visit our website at www.carolinafamily.org!
Job Type: Full-time
Pay: $45,000.00 - $55,000.00 per year
Benefits:
- 401(k)
- Paid time off
Schedule:
- Monday to Friday
Ability to Relocate:
- Greenville, SC 29605: Relocate before starting work (Required)
Work Location: In person
Salary : $45,000 - $55,000
