Acctpositions -

We are currently seeking an Accounts Receivable Representative for one of our non-profit clients located in the greater Stamford area.

Duties & Responsibilities include but are not limited to :

• Verify eligibility once a month for all payers
• Meet with ineligible clients to determine eligibility for insurance
• Maintain and update a list of clients by payer according to treatment status
• Track units of service based on sessions to ensure the necessary number of units are on file to eliminate write-offs
• Maintain and track recert dates of all authorizations to ensure they are completed and submitted prior to due date
• File written confirmation of authorization in the clinical record to verify the authorization was pre-approved
• Call insurance companies and obtain eligibility and benefit verification for all commercial and Medicare Advantage Plans
• Screen clients for eligibility through the HUSKY program and assist in the application process alongside the Entitlement Specialist
• Follow-up on process to ensure clients are approved for benefits
• Coordinate with State agencies to ensure clients are receiving the State benefits for which they are entitled
• Timely data entry of confidential client information into medical records
• Completion of administrative tasks (faxing, scanning, emailing, filing)
• Collects client fees, prepares and submits reconciliation report for deposit
• Perform initial and annual income verification for self-pay clients
• Review aging reports and follow up with open claims within timely filing requirements
• Complete special projects as necessary to maximize collections
• Assume responsibility for resolution of client issues or problems related to billing
• Timely response to phone calls
• Maintain a professional demeanor; provide courteous service to clients, staff and visitors
• Demonstrate effective communication, adaptability and problem-solving skills
• Create a safe, sanitary, welcoming environment
• Meet scorecard goals (efficiency and effectiveness)
• Client records are kept neat, organized and up to date Accountabilities : (the major end results that should be reached in the job function)
• Timely and courteous response to phones and requests from visitors, clients and staff
• Knowledge of addiction and mental health treatment services

Education and Experience Required :

• High school diploma or equivalent, Bachelors Degree in Business or Human Services Field recommended
• Experience in behavioral health or medical office
• Experience with financial collection practices; medical records and confidentiality practices
• Knowledge of state medical benefits and experience communicating with insurance companies
• Proficient in excel and database management
• Exceptional customer service skills
• Must have strong oral and written communications skills along with the interpersonal skills to work effectively at all levels of the organization and its stakeholders

Company Overview

We are an equal opportunity employer and comply with all applicable federal, state, and local fair employment practices laws.

We strictly prohibit and do not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex, sexual orientation, gender (including gender identity and expression), marital or familial status, age, physical or mental disability, perceived disability, citizenship status, service in the uniformed services, genetic information, height, weight, or any other characteristic protected under applicable federal, state, or local law.

Applications from members of minority groups and women are encouraged

IND456

Last updated : 2024-04-26