Accounts Receivable Specialist (4-6 months)
Salud Para La Gente
- Watsonville, CA
- $36.00 per hour
- Permanent
- Full-time
- Processes all assigned account receivables.
- Reviews all copies of checks received and deposits for appropriate payment allocation.
- Maintains insurance EOB's and remittance advice files up-to-date.
- Applies all patient revenue payments received in the practice management system using the proper payment source.
- Assigns appropriate denial codes to claims denied in the practice management system.
- Ensures that all payments and denials are entered in the practice management system on a timely manner within policy procedures.
- Maintains deposit reconciliation journal on a daily basis to ensure proper reconciliation of deposits.
- Analyzes current flow and provides suggestions for workflow improvement.
- Communicates to Controller of incoming state revenue.
- Prepares and reconciles all monthly reconciliation reports; submits to Controller at the end of each month.
- While entering payments, works in coordination with the billing department to identify unpaid claims.
- Identifies and submits refunds to patients and insurance companies for proper recoupment process.
- Logs and reports payment withholds.
- Reviews all credit balances and makes necessary allocations based on payer source.
- Identifies and reports payer rate changes and inconsistencies in payments based on policy and procedures.
- Reviews all returned patient financial correspondence and coordinates address correction.
- Assists in preparing reports for the financial audits.
- Works in coordination with billing department with any claim payment and EOB related issues.
- Provides necessary EOB files to billing department for proper claim submission.
- In coordination with Data Systems, maintains electronic ERA and EFT set up up-to-date with payers.
- Assists with confidential agency financials utilizing a high level of discretion.
- Ensures a productive work environment and achievement of goals through strategies and practices in line with the CARE fundamentals of communication.
- Consistently adheres to and/or exceed SPLG's communication guidelines and expectations with internal and external customers including co-workers, patients, and external partners
- Performs other duties as assigned.
- High School Diploma and one year health insurance related accounts receivable experience.
- One year health insurance billing experience.
- Bilingual Spanish/English
- Knowledge of Accounts Receivables cycle (experience preferred).
- One year experience of standard medical coding, CPT and ICD-9.
- Proficient in relevant computer applications (Health related accounting software)
- Must be detail oriented with strong attention to detail
- Valid CA Driver's License and current vehicle insurance; must be able to travel between sites.
- This position requires full range of body motion, standing, walking, sitting, typing, reaching, bending, moving and/or lifting up to 50 pounds.