Maintains accounts receivable records and processes invoice transactions for Medicaid and other Insurance payors and performs necessary follow up efforts to secure payment for services delivered.
ESSENTIAL DUTIES:
Maintains the sponsor file in the Agency Accounts Receivable System (HSIS) to insure proper billing to client payor sources.
Performs collection activities to follow-up on unpaid payor transactions and researches discrepancies.
Confers with private and public insurance companies by telephone in attempt to determine reason for overdue payment, reviewing terms of contracts, services delivered, and authorizations with payor.
Notifies direct program staff regarding client eligibility status.
Updates service authorizations for clients in accordance with instructions from insurance companies.
Processes and delivers invoice copies for payors.
Processes daily credit card deposits.
Researches and processes customer claims of invoice payment.
Research and process charge backs, returns and bad checks.
Answer accounts receivable phone inquiries and follows up.
Calls or maintains correspondence with customers and funders as necessary.
Attends scheduled staff meetings, supervision, and on-going training.
Contributes to the development and maintenance of the Agencys systems through the timely completion of assigned documentation in accordance with applicable fiscal, legal, licensing and accreditation regulations and standards.
50-55,000
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Associate's degree or 3-5 years related experience or equivalent combination of education and experience
Experience with Medicaid and Medicare
Experience within the medical field
Benefit packages for this role will start on the 31st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.