Specialist, Accounts Receivable
Specialist, Accounts Receivable
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1 Vacancy
Job Description
About Our Company
Were a physician-led patient-centric network committed to simplifying health care and bringing a more connected kind of care.
Our primary multispecialty and urgent care providers serve millions of patients in traditional practices patients homes and virtually through VillageMD and our operating companies Village Medical Village Medical at Home Summit Health CityMD and Starling Physicians.
When you join our team you become part of a compassionate community of people who work hard every day to make health care better for are innovating value-based care and leveraging integrated applications population insights and staffing expertise to ensure all patients have access to high-quality connected care services that provide better outcomes at a reduced total cost of care.
Please Note: We will only contact candidates regarding your applications from one of the following domains: @ @ @ @ @ @ or @.
Job Description
Job Purpose: (AR) Specialist
This position serves to drive efficient compliant and effective claims and denials processing to optimize reimbursement for the organization. The responsibilities of this role include denied claims and A/R follow up with various payers including but not limited to the following: Commercial Insurances Medicare Medicaid Uninsured Patients Workers Compensation and First Aid Occupation Medicine and other reimbursement categories.
Essential Functions/Responsibilities
Collect delinquent outstanding balances as quickly as possible by applying collection best practices as defined by the Standard Operating Procedures and training protocols and/or as defined by the AR manager
Primary accountability for specific AR scope/function (for example: Commercial or Uninsured or Workers Compensation etc.)
Utilize various AR reports to target aged balances for collection in order to meet and maintain performance goals as set by Management.
Evaluate denials and partial payments to determine if further reimbursement is valid
Effectively participate during team meeting payer discussions/meetings and conference calls/meetings as needed
Research and correct cash application of misapplied funds and payments on patient accounts as necessary
Identify and request adjustments to insurance and patient accounts as necessary while following departmental procedures and policies related to overpayments and credits and refunds
Ability to consistently maintain productivity and quality expectations as defined by management
Alert management to irregularities insurance trends and areas of concern with reimbursement
Ability to maintain confidentiality of all information under HIPPA guidelines and policies and maintain PHI integrity
Responsible for assisting in any new hire training within the AR Management team
Responsible for assisting all new Rev Cycle cross-team members in the onboarding and training process to educate new CityMD employees on AR Management
Assists other departments within the Revenue Cycle department with various tasks/duties as assigned
Qualifications
High School Diploma GED or Equivalent Required
Minimum of 2-4 successful years in a business collection environment preferred
Prior medical billing and healthcare insurance knowledge
Intermediate MS Word Excel Google (GMAIL G Drive) necessary
Solid understanding of state laws and insurance fee schedules and their impacts on billing and collection
Excellent oral and written communication skills
Excellent organizational and multitasking skills
Flexible and approachable to colleagues and inter-departmental stakeholders
Ability to perform functions at established CityMD RCM Support Center
Workers Compensation and No Fault prior billing experience a plus
Physical Requirements:
This job may require from time to time repetitive tasks.
Direct Reports:
None
About Our Commitment
Total Rewards at VillageMD
Our team members are essential to our mission to reshape healthcare through the power of connection. VillageMD highly values the critical role that health and wellness play in the lives of our team members and their families. Participation in VillageMDs benefit platform includes Medical Dental Life Disability Vision FSA coverages and a 401k savings plan.
Equal Opportunity Employer
Our Companyprovides equal employment opportunities (EEO) to all employees and applicants for employment without regard to and does not discriminate on the basis of race color religion creed gender/sex sexual orientation gender identity and expression (including transgender status) national origin ancestry citizenship status age disability genetic information marital status pregnancy military status veteran status or any other characteristic protected by applicable federal state and local laws.
Safety Disclaimer
OurCompanycares about the safety of our employees and Companydoes not use chat rooms for job searches or Companywill never request personal information via informal chat platforms or unsecure Companywill never ask for money or an exchange of money banking or other personal information prior to the in-person interview. Be aware of potential scams while job seeking. Interviews are conducted at selectOur Companylocations during regular business hours only. For information on job scams visit file a complaint at Experience:
Unclear Seniority
Employment Type
Full-Time
Key Skills
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