SR. ACCOUNTS RECEIVABLE SPECIALIST

SUMMARY OF JOB:

The Sr. A/R Specialist – Medicare is responsible for the claim submission and collection of all outstanding Medicare accounts. Responsible for performing resolution oriented patient collections to achieve cash recovery and A/R resolution goals of assigned receivables through established methods and procedures, using current available technology. Receives and responds to inquiries from insurers and patients, processes correspondence, and documents all work activity in electronic patient files. Responsible for meeting daily/weekly productivity and reasonable quality work expectations. Collaborates with Health System departments to achieve the key performance metric targets established by Senior Leadership.

CONNECTING TO MISSION:

All individuals, within the scope of their position are responsible to perform their job in light of the Mission & Values of the Holy Redeemer Health System. Regardless of position, every job contributes to the challenge of providing health care. There is an ongoing responsibility for ensuring that the values of Respect, Compassion, Justice, Hospitality, Holistic Approach, Stewardship and Collaboration are present in our interactions with one another and in the services we provide. The Business Office Department strives to contribute to this mission by working with the entire organization to provide the most positive financial climate possible, for continued caring, comforting, and healing for all in need.

RECRUITMENT REQUIREMENTS:

• HS Diploma/GED required. Must be able to provide proof of official transcript or diploma.
• 5 years experience in medical billing or healthcare accounts receivable experience; medical billing coursework may be substituted for prior experience.
• HFMA or AAHAM certification preferred.
• Extensive knowledge of Medicare regulations, minimum of 2 years experience using Fiscal Intermediary Standard System.
• Knowledge of third party payer contracting language and reimbursement terms.
• Knowledge of medical terminology, ICD10, CPT, and HCPC coding.
• Familiar with multiple (widely used) healthcare patient accounting/billing systems.

• Proficiency with Excel, MS Office, Internet Explorer, and Database Management application software. Any other necessary computer skills that will help with the assigned duties.

• Ability to communicate in English, both written and verbal. Additional languages are preferred.
• Ability to handle multiple tasks and accurately process high volumes of work.
• Ability to establish and maintain effective working relationships with patients, employees and the public.
• Strong organizational and time management skills.
• Good analytical skills, assertive in resolving unpaid claims.
• Ability to work independently, with minimal supervision.

EOE