Accounts Receivable Billing Associate
Osborn Family Health Center
Job Description
Job Description
JOB POSTING: Accounts Receivable Billing Associate
Full –Time – Monday thru Friday (8:30 A.M. – 5:00 P.M.)
Reporting Directive: CFO and CEO
Accounts Receivable billing Associates will oversee all aspects of the FQHC’s management of denials, resubmission of claims, collections and payment. The Manager will ensure timely and accurate processing of claims through diligent monitoring and analysis of accounts receivable. Ensuring compliance with financial regulations, implementing strategies to improve cash flow and manage risk associated with outstanding patient/insurance balances.
The candidate must have accounts receivable expertise with New Jersey Medicaid and Medicaid HMOs. Other Insurance Coverage: Medicare, Commercial, and Sliding Fee Program. ICD-10 Coding and the current CPT procedures for a busy primary/specialty care practice. The AR Manager/Credentialing must have extensive knowledge of E&M Coding.
Essential Duties- Accounts Receivable
- Aging Analysis- Regularly analyzing accounts receivable aging reports
- Review of Reports- Software System Claims Portal - Clearinghouse
- Identify Trends, address issues and improve cash flow
- Implement new technologies and process to streamline accounts receivable operations and improve efficiency
- Prepare and analyze financial reports related to accounts receivable
- Monitor aging balances recommend write offs/Bad Debt
- Approval to Write-Off Monthly/Quarterly – CFO/CEO
- Monthly Statistical Report for Uninsured Patients/Population of patients served
- Promotes the exchange of information between the Financial Counseling, Billing Department, Information Technology (IT) and CFO
- Support interdepartmental team building and timely resolution of coding/procedure code deficiencies
- Performs other duties as assigned and required to maintain an efficient and effective workflow
Accounts Receivable Manager Skills
Detail oriented with exceptional problem-solving skills
Excellent oral communication skills
Working Knowledge of Practice Management Billing Systems
Familiarity with Excel Spreadsheets
Ability to prioritize
Accuracy and attention to detail
Greenway Intergy experience is highly valued.
Working knowledge of Microsoft Office products; Excel, Word, and Power Point.
Excellent analytical and interpretive skills.
Prior experience with a FQHC- "Federally Qualified Health Cent
Essential Duties- Credential
- Primary source verification
- Preparation/Completion of Applications for Health Care Providers
- Recertification for providers and facility
- Experience with CAQH- Council for Affordable Health Care
- Knowledge of NPPES/PECOS/NCQA
- Perform monthly queries with National Practitioner Data Bank/OIG
- Maintain/store accurate records for Health Care Providers
- Communication with Insurance Plans- Participation of Providers/Facility
- Maintain Provider Directory for Insurance Plans
- Coordination with Billing and IT Department – NPI numbers
- Interaction with Human Resource Department
Credentialling Skills
Detail oriented with exceptional problem-solving skills
Excellent oral communication skills
Ability to create manuals, flow charts, dashboard of participation of providers
Coordination with Medical Staff for Hospital Privileges
Education/Experience:
High school diploma required.
Associate or Bachelor’s degree in Finance/Accounting, Business Management/HealthCare Administration required
3-5-years’ experience working in an accounting, billing/credentialing or accounts receivable department/Primary Care Practice Setting
Experience with Practice Management Systems -- Intergy/Greenway
Knowledge of Credentialing process in an FQHC
Benefits Offered
Medical
Dental
Vision
Prescription
Life Insurance
Paid Holidays
Paid Time Off
Retirement
The following statements reflect the general duties, responsibilities and competencies considered necessary to perform the principal functions of the job and shall not be considered as a detailed description of all work requirements that may be inherent in the position.
Osborn Family Health Center is a Federally Qualified Health Center (FQHC), located in Camden, N.J, Equal Opportunity Employer.
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