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High Point & Affiliated Organizations · 4 days ago

Accounts Receivable Staff

New Bedford, Massachusetts, United States

Full-time

Onsite

Mid, Senior Level

$23/hr - $27/hr

5+ years exp

High Point & Affiliated Organizations is a health and human service agency whose mission is to treat and prevent substance use disorders and mental illness. The Accounts Receivable Staff role involves managing billing processes, ensuring compliance with regulations, and maintaining accurate financial records for the organization.

Health CareHealth DiagnosticsHospital

Responsibilities

Compliance with the Federal Regulations 42 CFR Part 2, Confidentiality of Alcohol and Drug Abuse Patients and HIPAA Regulations

Send out all initial bills to both third party and client payors

Re-bill all denials from explanation of benefit notices

Review aging reports and reconcile old accounts

Call third party payors on questionable denials

Update third party software with new third party or patient information

Check PA Data, enter if necessary and file (notify Unit Biller and Utilization Reviewer if discrepancy)

Run and check weekly reports to avoid claim issues

Maintains an accurate knowledge base about the services which are provided by HPTC and the pay sources that HPTC is contracted with

Batch and send electronic and paper claims

Post both patient and third-party payment

Write up and expedite the processing of client refunds

Attend mandatory trainings and meetings

Assist programs with entering ESM’s if needed

Communicate effectively with the key contacts and management to provide accurate and timely information

Other duties as assigned by the AR Manager

Qualification

Microsoft Office proficiency3rd party payor knowledgeCollection experienceAdministrative support experienceMulti-taskHealthcare field experienceOrganizational skillsCommunication skills