Accounts Receivable Specialist - Healthcare

At Transition Home Healthcare, our associates are our most valuable asset. Each associate provides a service that directly or indirectly affects patients, families, other team members, and the public. We strive to excel in providing the highest quality healthcare and customer service possible, which is incumbent upon the excellence and commitment of our leaders and caregivers.

Accounts Receivable Coordinator - Healthcare

Houston, TX (NOT Remote)

Monday - Friday in Office

Full Time Benefits

• Very Competitive Pay
• Generous Paid Time Off (PTO) and Holidays
• Medical
• Dental
• Vision
• Company-paid life insurance & LTD/AD&D insurance
• Short-Term Disability
• Supplemental Insurances (Hospital Indemnity, Cancer Policies, Legal Plans, & More!)
• 401k with matching
  
  

Responsibilities

• Review payments received to ensure correct payment amount per fee schedule.
• Maintain updated fee schedules for all payers.
• Reconcile payments against banking system and post them into the practice management system.
• Identify payments that are underpaid or denied in error.
• Follow-up and work any underpayments and denials as identified during payment posting.
• Follow-up and work outstanding account receivable report.
• Validate and determine appropriate coding levels by reviewing clinical documentation and operative reports.
• File appeals and other re-considerations to various commercial and federal insurance payers.
• Ensure that documentation supports charges and file appropriate correspondence with various payers.
• Other billing duties as assigned by management.
• Paper follow-up of claims
• Respond to follow-up within the A/R Assistant scope, such as:
• Zero payments, incorrect billing, etc.
  
  

Follow-up on such cases

Forward applicable paper follow-up to the appropriate A/R Coordinator

Write first appeal letters for any underpayments

Review and extract EOBs that are posted within 5 business days

Work on special projects for A/R Manager and A/R Team

Filing and other office duties as needed

Maintain clear and consistent communication with the A/R Manager and A/R Team

Recommend and implement initiatives that enhance the management of the client’s accounts

Perform other duties as assigned

Qualifications

• 2 years experience in healthcare accounts receivable /denial management is required
• Home Health/Hospice experience is highly preferred
• Require our AR team to have experience working with Medicare and Managed Medicare plans
• Proficient in computer software (Word, Excel, Outlook, Adobe or PDF software)
• Excellent phone, verbal, written, and editing skills
• Strong organizational skills and attention to detail
• Ability to manage stressful situations and numerous simultaneous projects and tasks
• Strong independent work ethic
• Ability to think creatively and analytically
• Ability to maintain a professional attitude in all situations
  
  

We are an equal opportunity employer and prohibit discrimination/harassment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.