What are the responsibilities and job description for the Accounts Receivable Specialist position at SKIN AND CANCER INSTITUTE?
LA LASER CENTER
JOB DESCRIPTION
Job Title: Accounts receivable Specialist
Status: Full Time
Reports To: Accounts Receivable Manager
Employee:
This job description is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities or requirements. Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time.
The physical demands and work environment described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
Location: Remote
SUMMARY OF POSITION
This position manages and oversees the overall policies, objectives, and initiatives of an organization's revenue cycle activities to optimize the patient financial interaction along the care continuum. The Accounts Receivable Manager assists in managing outside vendors, partners with Finance, and IT, oversees Claims Analysis, and implements best practices to maximize Revenue, all with a focus on process, communication, and team effort.
ESSENTIAL DUTIES
- Identifies opportunities to optimize revenue collection through proper coding, encounter/claims submission, denials management, and payment reconciliation across the enterprise.
- Ability to meet productivity and quality measurement requirements.
- Ensures compliance with workflows and processes as implemented by department leadership.
- Independently identifies and communicates revenue improvement opportunities with Accounts Receivable leadership team.
- Demonstrates a strong knowledge of billing software, insurance claims, collections processes, and reimbursement procedures.
- Participates in the development of coding and billing strategies, evaluating processes related to Revenue Cycle and making recommendations while ensuring compliance with any relevant rules or regulations (including HIPAA, Medicaid, Medicare, and specific 3rd Party Payors).
- Maintains relations with payers and providers to generate high reimbursement rates and a low level of denials.
- Maintains professional relationships and collaborates across teams, managing projects, facilitating meetings and presenting in various settings, including senior leadership.
- Prepares and coordinates revenue cycle responsibilities within the acquisition/implementation process. This includes but is not limited to staff onboarding, vendor management, and clearinghouse management.
SKILLS/QUALIFICATIONS/EXPERIENCE
- Minimum of 3 years of experience in medical billing and collections, preferably in dermatology.
- Must have high school diploma or equivalent educational experience.
- Minimum of 3years of remote working experience.
- Demonstrate an understanding of healthcare management.
- Demonstrate an understanding of patient accounts.
- Insurance Denial and appeals background.
- Ability to educate patients on explanation of benefits for insurance processed claims.
- Communicate effectively with healthcare workers, patients and insurance companies.
- Able to prioritize and organize tasks at hand.
- Strong attention to detail, positive attitude and a proven ability to lead a team to success.
- Proficient in Microsoft Word, Outlook and Excel.
- Knowledge of state regulations.
- Experience with the EHR/PM system Modernizing Medicine/EMA is a plus.
- Must have excellent written and verbal communication skills.
- Able to work with a diverse group of people.
- Must be able to work in a fast-paced office environment.
- Other duties as assigned.
