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Accounts Receivable Specialist

NewVista Behavioral Health
Blue, OH Full Time
POSTED ON 2/9/2025
AVAILABLE BEFORE 3/9/2025
In conjunction with some of the areas most advanced physicians and clinical teams, Lynx EMS offers high quality medical transport in a safe, growing environment. As an outgrowth of the NewVista brand, Lynx works closely with hospitals, nursing homes, and private individuals to provide high quality, professional emergency medical care.

NewVista employees enjoy competitive wages, PTO plans, and a comprehensive benefits package. Qualified candidates, please apply now for a chance to join an outstanding team!

The Role

The Accounts Receivable Specialist is responsible for overseeing the billing of all claims, collections, and follow-up as directed. Because this role will specifically work with patients and vendors, experience in a customer service or call center environment is preferred.

The Accounts Receivable Specialist will participate in weekly and monthly meetings at each site and the with the centralized business office to address front end admissions issues, outstanding AR balances, billing issues, insurance issues, and denials. This position will be focused on building relationships and collecting balances from nursing facilities, SNF's, hospice, and other hospitals who use Lynx EMS to transport patients.

Requirements:

  • High School Diploma or GED equivalent
  • Prior healthcare billing experience highly preferred
  • Prior experience in customer service or call center environment preferred.


Responsibilities of the position include:

  • Overseeing the billing of all claims - ensure that these are timely and accurately submitted - review rejection rates for each location, follow up with staff as necessary
  • Collections and follow up as directed - for either CBO or Facility staff
  • File and track all appeals of denied claims or partially paid claims - may be delegated as discretion allows, but must make sure all are tracked, followed up on and resolved
  • Revenue charging/reconciliation to properly record revenue - work with accountants to ensure that the subsidiary ledger reflects proper balances and is adjusted as claims are paid or written off
  • Review proposed write off documentation and approve per policy; ensure any 'C -level' approvals are obtained if necessary. Periodically track and trend write off amounts and reasons for review by management.
  • Collections and follow up - may be split up by insurance or by site dependent upon staff qualifications and volume
  • Cash posting and reporting (centralized or delegated to site personnel TBD)
  • Rebilling of claims as needed
  • Self-Pay collections over 30 day - we may also utilize an early out agency and collections placement consistent with CommuniCare standard policy
  • Statement processing

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