Accounts Receivable Specialist- Healthcare

Optimus Healthcare- A community Health Center driven by one mission: to provide high quality, affordable healthcare to the underserved population regardless of their ability to pay. Optimus is the largest Federally Qualified Health Center providing primary care services in lower Fairfield County, in the cities of Stamford, Bridgeport, Stratford and surrounding areas. If you are a healthcare professional who wants to work in a meaningful, mission-driven workplace where people are committed and passionate about caring for others, OPTIMUS may be for you.

We are currenlty looking for an experienced full-time Accounts Receivable Specialist to join our team in Stratford, CT..

Essential Functions & Responsibilities

• Research all information needed to complete billing processing including correction of pre billing errors to ensure compliance with regulatory guidelines.
• Review of claim batches, making appropriate corrections for claims to be accepted by clearing house.
• Post any corrections to charges to ensure integrity of account information.
• Analyze billing reports to ensure proper billing procedures are followed based on federal and state rules and regulations.
• File all claims on a daily basis (electronic claims and hard copy)
• Run pre-billing and correct all errors at time of billing.
• Post all cash payments received on a daily basis.
• Research and resolve all collection related activities, including working through accounts receivables to maximize reimbursement.
• Function as a liaison between patients and clinic staff on claims, billing questions or insurance related issues.
• Trace errors, record adjustments to proper account and determine the appropriate destination of unidentified funds.
• Respond to inquiries from agencies, insurance companies to assist in claim payment processing.
• Effectively process all patient and third-party correspondence, including requests for copies of claims, statements and refunds.
• Effectively process all legal documentation as it relates to patient accounts.
• Act as a resource to Physicians, Administrators and patients regarding health insurance claim policies, procedures and requirements.
• Provide support to the Billing department management team on various areas of patient billing research and analysis.
• Work on various projects as assigned by the billing department management team.
• Research, trouble-shoot Accounts receivable reports and rejections, process appeals where appropriate, and make recommendation for write offs.
• Is responsible for accurate and timely completion of job assignments.
  
  

Job Qualifications/Requirements

EDUCATION: High School Diploma. Certified in medical coding (CPT4 and ICD9/ICD10), Medical Billing and Procedures.

EXPERIENCE: Minimum of 2 years' experience in medical billing, accounts receivable, or a similar role. Proficient knowledge of medical terminology, ICS-10, and CPT coldes

LANGUAGE SKILLS: Knowledge and use of the English language, Bi-lingual a Plus

MATHEMATICAL SKILLS: Basic math skills

REASONING ABILITY: Critical thinking, analytical and problem-solving skills

LICENSURE / CERTIFICATION: CCA certification, CPC certification

Working For Optimus

• OHC provides a fun, fast-paced working environment, where our commitment to quality is present in every job function.
• 100% Outpatient Setting
• Excellent health & welfare benefit options
• Competitive Compensation
• Optimus and its caring, multilingual staff proudly serve our community in a patient-centered environment.
  
  

We are proud to be an Equal Opportunity Employer