Healthcare AR Specialist - Billing & Revenue Cycle

The Account Receivable Coordinator provides administrative and technical support to the supervisor in the daily operations within the Revenue Cycle. Assists with streamlining daily functions related to billing and collection activity to ensure prompt resolution of patient receivables. Interacts daily with staff to identify, quantify and resolve difficult claims processing issues. Provides direction and training, serving as a resource for payer and department policies and procedures as well as system applications. Demonstrates expertise with current software programs and a willingness to learn new programs. Conducts scheduled staff productivity and quality reviews and prepares reports for the supervisor’s action. Encourages a team approach towards achieving the Revenue Cycle and CNE hospital goals. Must have a demonstrated ability to collaborate and work well in a team environment. Duties and Responsibilities Serves as a resource within the Revenue Cycle, providing information on department systems, procedures, and activities, resolving problems as needed. Keeps managers informed of any issues within the team, evaluates processes, and makes recommendations for improvement. Oversees daily operations of the area in the absence of the supervisor. Demonstrates knowledge of accounts receivable payment policies and hospital contracts as they relate to billing, collection, follow-up, claim reimbursement, patient liability, and local, state and federal programs. Serves as a representative of the accounts receivable team as needed, e.g., payer meetings, court appearances, and internal and external meetings. Trains and educates staff on internal and external policies, procedures, regulations, and statutes applicable to the accounts receivable functions. Provides support to staff for payer‑specific questions, issues, and reimbursement policies related to the accounts receivable. Reports trends or critical issues to the supervisor, identifies strategies for problem solving, process improvement, and employee education. Provides feedback to the supervisor regarding employee performance and key performance indicators. Prepares internal and external reports as requested. Provides department support as needed and works to improve efficiency and accuracy in support of quality and performance improvement goals. Preserves and protects patient’s rights to confidentiality. Performs other related duties as requested. Requirements A minimum of 2 to 3 years of previous experience in a healthcare or business environment. Excellent human relations, communication, and organizational skills. Working knowledge of computer applications, including word processing, spreadsheets, and database applications. Knowledge of third‑party payers and collection policies and procedures. Excellent analytical, oral, and written skills with the ability to communicate and collaborate with agencies and internal and external customers. Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled, must be able to perform the essential job‑specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case‑by‑case basis. EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status. Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to, hospital policy, mission, vision, and values. #J-18808-Ljbffr Care New England Health System