Senior AR Management Specialist

Join Chimes and go further to help others go far! Chimes is a not-for-profit organization that assists people with intellectual and behavioral challenges to achieve their fullest potential.

Our vast array of services educational employment vocational residential habilitative and behavioral health are delivered through a network of national and international affiliates. This allows us to take a comprehensive holistic approach to improving the lives of every person we serve those who receive and those who reap the benefits of our innovative responsive solutions.

Compensation: $67000 - $69000 Yearly

Schedule: Monday - Friday 8:00am-5:30pm
Location: Upper Darby PA

PRIMARY JOB FUNCTION(S):

• Proactively review and follow up on outstanding insurance claims across all payor types (commercial Medicare Medicaid managed care self-pay State/County) for outpatient and residential behavioral health and IDD services.
• Identify root causes of claim denials rejections and underpayments through thorough analysis of EOBs ERAs and claim status inquiries.
• Initiate timely appeals reconsiderations and corrected claims with supporting documentation to facilitate prompt resolution.
• Work collaboratively with the billing coding and payment posting teams to resolve billing errors coding discrepancies and posting issues affecting AR.
• Develop implement and maintain comprehensive Standard Operating Procedures (SOPs) for all AR follow-up processes ensuring consistency accuracy and efficiency across the team.
• Generate and analyze AR aging reports denial trends and collection performance metrics.
• Provide insights and recommendations to management on strategies to reduce AR days improve collection rates and prevent future denials.
• Participate in regular AR review meetings with leadership to discuss challenges successes and action plans.
• Reports to the AR Manager or designee any breaches of Agency accounting policies and procedures.
• Meets deadlines as required for month end and year end processing.
• Strong understanding of revenue cycle management within a healthcare setting specifically behavioral health (outpatient and residential preferred) and IDD.
• Assists with and prepares needed documents for audits.
• Monitors customer accounts totals for accuracy and collectability. Assists in identifying and writing off bad debt.
• Communicates immediately with AR Manager or designee issues regarding billing and receivables.
• Uses advanced technology for the completion of specified job duties.
• Attends work regularly according to assigned work schedule and in accordance with Agency policy.
• Attends and participates in in service training staff meetings and other activities to facilitate professional development.
• Works cooperatively with others including all staff supervisors administrators co-workers individuals served community professionals customers vendors and the public.
• Follows instructions and abides by Agency policies and procedures.
• Be a positive role model for individuals served and Agency staff.
• Assumes other duties responsibilities and special projects as needed.

REQUIREMENTS:

EDUCATION: A Bachelors degree in Accounting/Finance or related field.

EXPERIENCE: Minimum of 5 years of progressive experience in medical accounts receivable follow-up with at least 2 years in a senior or lead role outpatient behavioral health medical billing experience -depth knowledge of various payor types (commercial Medicare Medicaid managed care) and their specific billing and appeal requirements. Proven experience in developing and implementing Standard Operating Procedures (SOPs) and conducting staff training. Ability to work independently manage a high volume of accounts and prioritize effectively in a fast-paced environment. Experience with Therap a plus. Must be bondable as defined by the insurance policy in effect throughout employment. Must have an acceptable driving record as determined by criteria established by the Agencys insurance carrier and by Agency policy.

NOTE: At the discretion of the Personnel Officer additional related experience and/or education may be substituted in lieu of the requirements specified above under Education and Experience.

Whats in it for you

Total Rewards (For Full-Time Employees >30 hours/week):

• Competitive Pay
• Medical Dental and Vision Insurance
• Tuition Reimbursement options
• Flexible Spending Accounts (Health Dependent and Transportation)
• Life Insurance
• Disability Insurance
• Paid Time Off
• 403(b) with Employer Match
• Employee Recognition Programs
• Employee Referral Bonus opportunities
• Discounts through Tickets at Work
• And More!

Want to learn more

To learn more about Chimes and how you can achieve personal and professional growth within a purpose-driven organization visit us at Experience:

Senior IC