Description:

Responsible for performing research, correction, and updates within the accounts receivable management systems toward the purpose of billing for and receipt of compensation on services provided in the course of resident care. Completion of account management functions such as billing, collection, reimbursement calculation, cash posting and reconciliation on assigned inventory are basic functions required for this position.

Operational

Responsible for the accurate pre-billing review, billing, follow up, and cash posting of charges within their assigned functional area.

Admissions and Census review

Triple Check Claim Validation

Billing for all business lines

3 rd Party Follow Up

Private Pay Follow Up

Cash and Denials posting

Credit Balance and Refund resolution

Resident Final Billing

Customer Service-A/R Help Desk

Month-end Close

Translates internal charge files to appropriate billing formats for electronic and manual claims submission to third party and private payers.

Performs follow-up and collections of accounts with outstanding balances. Adheres to department guidance on account documentation notes structure and content to provide all stakeholders with actions taken and next steps for accounts receivable management.

Initiates appeals, corrected claims submissions, or submits medical records in response to payer requests for information or denied claims.

Post contractual allowances, write-offs and payments against appropriate claim/line item using the Explanation of Benefits (EOB) or Remittance Advice.

Post rejection and denial transaction codes and descriptions using the Explanation of Benefits (EOB) or Remittance Advice.

Researches misapplied cash and credit balances utilizing appropriate payment and write-off codes.

Additional Skills & Qualifications:

At least one of the following is required:

Minimum two (2) years healthcare accounts receivable experience in billing, collections, cash posting or other healthcare revenue cycle related experience.

Graduation from an accredited two-year college with major coursework in Accounting, Finance, Business Administration, Healthcare Finance/Administration or related field of study IS PREFERRED

Current Certified Revenue Cycle Specialist (CRCS-I) from the American Association of Healthcare Administrative Management (AAHAM) is preferred.

knowledge of billing, collections, and cash posting processes in a health care provider environment.

Medicare, Medicaid and Managed Care experience a plus.

Experience working with CPT and ICD-10.

Knowledge of medical terminology.

Knowledge of Federal, State and third party electronic claims submission, denials and reimbursement practices.

Experience working with CMS1500 and UB04 claim forms.

Knowledge of Vision or other medical practice management systems.

Proficient knowledge of Microsoft Office including Excel, Word and Outlook.

High School Diploma or equivalent is required.

Experience Level:

Entry Level

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

About the Company:
TEKsystems

About TEKsystems:

• We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
• The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

Company Size:
5,000 to 9,999 employees

Industry:
Staffing/Employment Agencies

Founded:
0

Website:
https://www.teksystems.com/en/