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Accounts Receivable Specialist

Company: EmpowerMe Wellness, LLC
Location: Saint Louis
Posted on: November 22, 2021

Job Description:

As the Accounts Recievable Specialist with EmpowerMe you will be responsible for working the overall back-end medical billingprocess. Key functions of this role will include but are not limited performing audits of 3rd party billing reports to ensureaccuracy of the overall billing process, addressing billing issues related to: missing/incomplete documentation and/or charges,delay in claim processing due to medical documentation submission requirements, credentialing issues, etc. The ability toreview and collect information in a thorough and detailed manner, as well as timely response and communication are critical tothe success of this position.Essential Duties include the following:The following duties are normal for this position. This list is not to be construed as exclusive or all inclusive. Other duties may berequired and assigned. Reasonable accommodations may be made to enable individuals with disabilities to perform the essentialfunctions.

  • Review and work billing error reports:o Identify and address discrepancies in network status identified by insurance companies and communicateissues pertaining to network and credentialing to Business Operations Coordinator.o Coordinate the transmission of information verifying medical necessity and accuracy of documentationbetween clinical staff and 3rd party billing vendor.o Resolve issues and concerns regarding accounts receivable - report prep and notification of management.
    • Conduct regular audits on 3rd party billing vendor to ensure all issues are addressed timely, and to ensure accuracy of:o Claim submissionso Charge captureo Applied and/or rejected paymentso Itemized bills to patients and insurance companies
      • Accounts Receivable (AR) follow up.
      • Track and manage billing issues and communicate issues and/or concerns to Billing Manager.
      • Serve as intermediary between patients and outside sources related to questions or problems which patients may haveregarding bills for services provided.
        • Communicate payment policies to patients and finalize payment arrangements with patient or guarantor, as needed.
        • Manage service provider accounts by reviewing service logs for accuracy, preparing and submitting invoices, and trackingpayments.Qualifications, Education and/or Experience:To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listedbelow are representative of the knowledge, skills, and abilities required.
          • Bachelor's degree or Associate's degree plus 1 year of medical billing experience, or High School diploma or GED plus 2years medical billing experience (professional office experience in healthcare setting is preferred).
            • Must exhibit a very high level of thoroughness & detail orientation.
            • Goal- and result-oriented, as well as self-motivated with a sense of professional curiosity, desire to learn new things,and to find / recommend solutions to problems.
              • Excellent communication and interpersonal skills required.
              • Must have the ability to work in a fast-paced environment, remain calm in stressful situations, to be flexible, to workwell with many interruptions and have skill in multi-tasking. Accounts Receivable Specialist - Job Description Created 05.27.2021 p2
                • Must exhibit and promote a high level of customer service, hospitality, curiosity and friendliness towards all clients,visitors, coworkers.
                  • Quickly adapts to change and takes a proactive approach to problem solving.
                  • Knowledge and understanding of HIPAA and CMS guidelines.
                  • Ability to analyze, interpret and draw inferences from research findings and prepare reports.
                  • Knowledge of and experience with insurance benefit coordination, medical credentialing and medical billing.
                  • Working knowledge of clinical and/or Agency operations and procedures.
                  • Ability to use independent judgment to manage and impart confidential information.
                  • Database management skills including querying, reporting, and document generation.Computer Skills:Proficiency in Internet browsers (e.g. Explorer, Chrome, Fire Fox), as well as advanced knowledge of Microsoft Office programs:Outlook, Excel, Word and Publisher applications. Experience in working with various EMR and medical billing systems.Work Environment & Physical DemandsThe physical demands described here are representative of those that must be met by an employee to successfully perform theessential functions of this job.While performing the duties of this job, the employee is regularly required to talk or hear. The employee frequently is requiredto stand; sit; stoop; walk; use hands to finger, handle or feel; and reach with hands and arms. Specific vision abilities required bythis job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.

Keywords: EmpowerMe Wellness, LLC, St. Louis , Accounts Receivable Specialist, Other , Saint Louis, Missouri

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