Avant-Guarde Healthcare provides consulting services to Skilled Nursing Facilities in Missouri and Arizona to assist clients in improving quality operations. We are currently searching for a seasoned Accounts Receivable Specialist to join our team in Prescott, Arizona. MUST HAVE NURSING HOME COLLECTIONS EXPERIENCE

Responsibilities:

• Accurate and timely billing of UB04 and HCFA1500 forms.
• Understanding CPTs, ICD9 and HCPC codes, modifier coding and the correct usage of modifiers.
• Documenting accurate and appropriate notes on corresponding systems as needed
• Maintains knowledge of payer requirements and practices
• Understands and follows all federal, state, and local payer-billing requirements.
• Ability to access and interpret member eligibility
• Ability to review revenue codes to determine correct diagnosis for billing correct Medicaid payor.
• Understanding of basic medical terminology.
• Bill claims to third parties accurately and expeditiously via electronic transmission billing system
• Review and correct edited claims according to all applicable standards and compliance guidelines.
• Review claim rejections to determine recurring billing errors and report to management.
• Provide thorough, efficient, and accurate documentation and updates in all required systems for each work event.
• Identify claim status and take the appropriate steps to solve the problem in an expeditious manner.
• Responsible for meeting goals and quality standards through efficient and accurate work processes.
• Knowledge, understanding, and compliance with all applicable federal, state, and local laws and regulations relating to job duties.
• Knowledge, understanding, and compliance with company policies and procedures.
• Provide feedback to management concerning possible problems or areas of improvement.
• Make recommendations to implement improved processes.
• Perform other duties as assigned by management

Job Type: Full-time

Pay: $22.00 - $26.00 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Health savings account
• Life insurance
• Opportunities for advancement
• Paid sick time
• Paid time off
• Retirement plan
• Vision insurance

Schedule:

• Monday to Friday

Work Location: In person