What are the responsibilities and job description for the Accounts Receivable Collections Specialist position at Blackstone Valley Comm?
Works closely with the Revenue Cycle Manager (RCM) as well as with the Billing Analyst and Medical Payment Entry Specialist to ensure prompt payment of all medical services provided at BVCHC.
EDUCATION, EXPERIENCE, & SKILLS
High School Diploma or equivalency is required, healthcare finance certificate or Associates Degree preferred
Minimum 2 years of experience with medical accounts receivable, third-party medical billing, or healthcare finance required
Experience with FQHC’s and Alternate Payment Methods preferred
Ability to gain proficiency in the BVCHC’s Practice Management Software
General knowledge of all third party insurance carriers required
Extensive knowledge of insurance carriers required - to include, but not limited to, timely filing limits, coordination of benefits, deductibles, PCP, HMO, PPO, Federal and State Insurances, capitation, referrals, specialty services, in network co-pays, out of network co-pays, authorizations, dual coverage, coverage dates, covered services, non-covered services, coverage limitations and maximums
Working knowledge of 837 billing and 835 payer processes required
OTHER REQUIREMENTS
Reliable transportation required
Bilingual ability in English and Spanish, Portuguese or Creole speaking abilities preferred
Cultural sensitivity necessary to work with a diverse patient and staff population required
Ability to work independently and collaboratively required
Knowledge of computers and electronic medical records required
Knowledge of Microsoft Suite preferred
Strong communication skills, both verbal and written required
Proficiency with Excel spreadsheets required
Strong multi-tasking skills and consistent attention to detail required
Ability to exercise and maintain confidentiality, courtesy and patience in responding to inquiries is required
