What are the responsibilities and job description for the ASC Accounts Receivable Specialist position at SKIN AND CANCER INSTITUTE?
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 complaince with workflows and processes as implemented by department leadership.
- Independently identifies and communicates revenue improvement opportunities with Accounts Recievable 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.
SKILLS/QUALIFICATIONS/EXPERIENCE
- 3 years of experience in hospital billing and follow up, preferably in dermatology.
- Must have a high school diploma or equivalent educational experience.
- 3 years 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.
Salary : $21 - $23
