AR Collection Specialist

Role Description

The AR Collection Specialist is responsible for reviewing outstanding accounts receivable balances for collections. Focus will be on Managed Care and Insurance, Coinsurance, Medicaid and Hospice next level appeals and collections.

Qualifications

• A high school diploma is required; a college degree or equivalent advanced courses are preferred.
• Prior skilled nursing facility billing experience required.
• Understanding of UB04, ICD10 and insurance portals.
• Strong knowledge of billing software (MyUnity/PCC preferred).
• Ability to multitask, meet deadlines, and prioritize workload.
• Initiative-taking, organized, and detail-oriented individual with good interpersonal and communication skills.

Requirements

• Review outstanding accounts on agings to determine accounts for collections.
• Work outstanding claims for next level of appeal/collection.
• Answer provider questions and ability to make collection calls as needed.
• Ensure billing is accurate, complete and in compliance with State and Federal regulations.
• Coordinate third party billing with nursing facility personnel, as necessary.
• Communicates and works in cooperation with fiscal intermediaries, state officials and Insurance companies.
• Compiles and prepares data and reports as required.
• Strives to meet goals every month.
• Ensures compliance with Cantex policies and procedures including Financial Management Systems.
• Performs other duties and tasks as assigned by the AR Manager, Director of AR, or CFO.