Bilingual Accounts Receivable Specialist, - FlexStaff (Direct Hire)

FlexStaff is hiring an Accounts Receivable Specialist for one of our clients.

Candidate can work out of either East Meadow or New York office.

Day shift, Monday to Friday, 8:30 AM - 5:30 PM
Work Location: In-person

The Accounts Receivable Specialist will assist in ensuring that the company receives payment for goods and services offered to clients. Responsibilities Include but are not limited to:

• Prepares, posts, verifies, and records customer payments and transactions related to accounts receivable.
• Investigates and resolves denied claims in a timely manner.
• Work and manage commercial and Medicaid claims from all aging buckets including posting, appeals, and ADRs.
• Download and review electronic and paper EOBs for denied claims and line-item denials.
• Identifies and reviews delinquent accounts and pursues collection as needed.
• Responsible for all follow-through efforts performed and documented in a timely manner within compliance.
• Coordinates medical record requests with the main office for appeal purposes.
• Communicate accurate patient and billing information to the Insurance carrier.
• Prepare weekly reports to review with management with updated status and communication.
• Reviews explanation of benefits and adjusts accounts according to contracted rates for accurate AR.
• Demonstrated computer proficiency with knowledge of Microsoft Office.
• Maintains the strictest confidentiality and adheres to all HIPAA guidelines/regulations.
• Performs other related duties as assigned.

Skills/Requirements:

• Strong knowledge of medical insurance, billing guidelines, and compliance.
• Knowledge of medical terminology, experience in orthotics and prosthetics preferred.
• Practice management software experience highly preferred- Waystar, OPIE, and Medflex experience a plus.
• Knowledge of how to navigate NY Medicaid and CT Medicaid portals.
• Knowledge of the ePaces portal is highly preferred.
• Experience working with billing/AR claims including NY Medicaid.
• Demonstrates professional and positive communication with interpersonal skills.
• Must be highly detail-oriented with the ability to handle multiple tasks.
• High attention to detail and ability to problem solve claim resolution.
• Experience in driving process improvement.
• Bi-lingual (Spanish), a plus.

Education and Experience:

• Must have at least 3 years experience
• High school graduate or equivalent required; Associate degree or equivalent preferred.
• Experience working in a medical practice/healthcare setting; at least 2 years preferred.
• Orthotic & Prosthetic field experience necessary, at least 2 years preferred.

*Additional Salary Detail

The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).