Preferred Management Corporation · 6 days ago
Accounts Receivable Specialist-Clinic
Hemphill,TX,US
Full-time
Onsite
Entry Level
1+ years expPreferred Management Corporation is seeking an Accounts Receivable Specialist for their clinic. The role involves managing accounts receivable, processing claims for various insurance plans, and ensuring accurate patient information and payments are recorded.
ConsultingFinanceHealth Care
Responsibilities
Demonstrates knowledge and ability to follow medical billing practices
Demonstrates knowledge of Level I Healthcare Common Procedure Coding Systems (HCPCS) comprised of Current Procedural Terminology (CPT-4) and International Classification of Diseases (ICD) codes
Demonstrates knowledge of Medicare, Medicaid, Insurance Managed Care Plans and Workmen’s Compensation
Manages Accounts Receivable effectively, reviewing with manager problem claims
Reads and monitors bulletins from plans subscribed to for changes and updates in claims submission
Prepares daily deposit in a timely manner
Answers phones when necessary
Print statements and collection letters
Follow up phone calls on collections
Greets patients in a professional, friendly and respectful manner on phone or in person
Obtain payer information with copies of current payer information on all new patients
Verify all information in the computer system is accurate for visits and make any necessary information changes
Enter patient information into computer system
Print admission sheets
Call insurance to verify patients co-payment and deductible amounts
Collect patient co-payment and deductible amounts according to payment collection policy
Records payments received in receipt book
Maintains cash drawer, ensuring on a daily basis that the cash drawer is in balance
Keeps track of patients who require payment in full at the time of service
Gives professional customer service to patients and public at all times
Obtains referrals when needed from patients that have a Primary Care Physician (PCP)
Makes patients appointments as necessary
Maintains any logs necessary for collections and QA purposes
Download Medicare receipts on accounts
Post patient payments
Submits all claims to Medicare, Medicaid, primary insurances, and supplemental/secondary insurances
Enter charges for services rendered
Re-submits claims as necessary and handles appeals process when necessary
Researches and resolves correspondence from insurance carriers or private patients concerning claims
Reviews and corrects claim edits and denials to ensure proper payment for services rendered
Develops and maintains positive, effective working relationships with other employees, supervisors and medical providers
Fields and answers questions from patients regarding account/s
Replies to any inquiries in a timely manner
Ensure strict confidentiality of financial and medical records under HIPAA, HIPAA Security laws and hospital/clinic policies and procedures
Communicates clearly written and oral medical information to professional practitioners and/or the general public
Attends meetings as required
Miscellaneous duties as assigned requested or required
Qualification
Required
Knowledgeable in Medicare, Medicaid, Worker's Compensation and Third Party Payer claim processing
Knowledgeable in bookkeeping, computer skills as related to claims processing
Possess organizational skills and the ability to work independently
Demonstrates knowledge and ability to follow medical billing practices
Demonstrates knowledge of Level I Healthcare Common Procedure Coding Systems (HCPCS) comprised of Current Procedural Terminology (CPT-4) and International Classification of Diseases (ICD) codes
Demonstrates knowledge of Medicare, Medicaid, Insurance Managed Care Plans and Workmen's Compensation
Manages Accounts Receivable effectively, reviewing with manager problem claims
Reads and monitors bulletins from plans subscribed to for changes and updates in claims submission
Prepares daily deposit in a timely manner
Answers phones when necessary
Print statements and collection letters
Follow up phone calls on collections
Greets patients in a professional, friendly and respectful manner on phone or in person
Obtain payer information with copies of current payer information on all new patients
Verify all information in the computer system is accurate for visits and make any necessary information changes
Enter patient information into computer system
Print admission sheets
Call insurance to verify patients co-payment and deductible amounts
Collect patient co-payment and deductible amounts according to payment collection policy
Records payments received in receipt book
Maintains cash drawer, ensuring on a daily basis that the cash drawer is in balance
Keeps track of patients who require payment in full at the time of service
Gives professional customer service to patients and public at all times
Obtains referrals when needed from patients that have a Primary Care Physician (PCP)
Makes patients appointments as necessary
Maintains any logs necessary for collections and QA purposes
Download Medicare receipts on accounts
Post patient payments
Submits all claims to Medicare, Medicaid, primary insurances, and supplemental/secondary insurances
Enter charges for services rendered
Re-submits claims as necessary and handles appeals process when necessary
Researches and resolves correspondence from insurance carriers or private patients concerning claims
Reviews and corrects claim edits and denials to ensure proper payment for services rendered
Develops and maintains positive, effective working relationships with other employees, supervisors and medical providers
Fields and answers questions from patients regarding account/s
Replies to any inquiries in a timely manner
Ensure strict confidentiality of financial and medical records under HIPAA, HIPAA Security laws and hospital/clinic policies and procedures
Communicates clearly written and oral medical information to professional practitioners and/or the general public
Attends meetings as required
Communicates in an effective manner, follow written or verbal instructions and demonstrates good interpersonal skills to deal with team members, patients and families
Knowledge of insurance policies
Competent with the accounts receivable accounting system
Knowledgeable in accounting procedures
Competent in Microsoft Office Word and Excel
Maintain discretion and confidentiality in communications
Familiar with policies and procedures regarding reporting and release of protected health information (PHI)
High School Diploma/GED
1 year experience in bookkeeping, clerical and applicable computer training
Customer Service trained or experience
Must be proficient at mathematical and statistical calculations
Employee responds to unusual or varied situations that are not covered by existing standards, procedures and precedents
Employee is regularly required to stand, walk, sit, ascend and descend stairs, possess ability to handle, finger or feel objects, tools or controls; reach with hands and arms
Employee must frequently be able to lift 25 pounds from the floor to waist level
Specific vision abilities include close vision and the ability to clearly focus vision
Preferred
Prior physician office or medical coding
Additional language of Spanish preferred
Company
Preferred Management Corporation
Preferred Management provides serious solutions for community hospitals wishing to offer comprehensive primary care with a personal approach, while still maintaining a healthy bottom line.
501-1000 employees
Funding
Current Stage
Late StageCompany data provided by crunchbase