Medical Accounts Receivable Specialist - Full Time - Remote
Community Health Center

Job Info

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Job Description Summary:
The Moses/Weitzman Health System is a global leader addressing challenges faced by organizations caring for the poor and diverse populations, and is home to programs focusing on education, research, and process improvement support for safety net providers. The system delivers primary care to more than 150,000 patients in Connecticut, and extends access to specialty care for more than 2.5 million individuals across the U.S. It is a national accrediting body for organizations training advanced practice providers, and offers accredited education and training for Medical Assistants in multiple states. As an incubator for new ideas in areas including social justice, the environment, and social determinants of health, the MWHS is addressing challenges faced by providers caring for underserved communities, creating innovative and impactful initiatives led by nationally and internationally recognized experts. As it forges pathways into the future of primary care, the MWHS honors Lillian Reba Moses (1924-2012), a granddaughter of slaves, and Gerard (Gerry) Weitzman (1938-1999), whose ancestors escaped pogroms in Eastern Europe. Their vision and commitment to justice and equity in healthcare is the foundation upon which the Moses/Weitzman Health System was built.

Job Description:

Coordinates and performs all aspects of accounts receivable collection and reprocessing of claims.

ROLE AND RESPONSIBILITIES

• Audits and resolves accounts with credit balances
• Audits and resolves accounts with outstanding balances and determines disposition of delinquent accounts
• Audits and resolves accounts with credit balances
• Performs necessary rebilling or adjusting on accounts
• Receives calls from patient's with questions about services and over the phone payments
• Cross trains within department to provide coverage when necessary
• Collaborates with Office Mgr's regarding quality of data obtained by office staff, healthcare providers.
• Organizes work load to achieve a high level of productivity
• Notifies Manager of information that negatively impacts production
• Assist with special projects as needed

QUALIFICATIONS

• One of the following must be met: 1) Associates degree in Health Information Management Systems (or related field) with 1+ years' experience in a healthcare billing and collections office OR 2) Coding Certification/Billing Certificate Program (AAPC's CPC or AHIMA's CCA) with 2 years' experience in a healthcare billing and collections office
• In depth knowledge of CPT and ICD-10 Codes, Medicare and Medicaid billing rules. Insurance reimbursement methods, the claims appeal process, understanding of managed care contracts and capitation payments
• Proficient in Microsoft Excel, Word, Access and Outlook

This Position is available for remote work.

Time Type:
Full time

This job has expired.