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Medical Accounts Receivable Specialist

Company: Community Health Center
Location: Middletown
Posted on: January 11, 2022

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
  • Responds to patient inquiries regarding process of services
  • 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 neededQUALIFICATIONS
    • 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

Keywords: Community Health Center, Middletown , Medical Accounts Receivable Specialist, Healthcare , Middletown, Connecticut

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