Medical Biller/Accounts Receivable (AR) Specialist (Medical Insurance Collections), Temp-To-Hire

Northwell Health•Lake Success, NY

3d•Onsite

About The Position

FlexStaff is seeking an Accounts Receivable (AR) Specialist with experience with collections to work on a temp-to-hire assignment for our Client, a Prosthetics and Orthotics Lab. Schedule: Monday- Friday, 8:30am-5:30pm, 100% working on-site. You can work at their location either in Manhattan or East Meadow. Requirements: Experience working with medical insurance, billing guidelines, and compliance, as well as knowledge of NY Medicaid and CT Medicaid portals. Knowledge of the ePaces portal is highly preferred. Experience working with billing/AR claims including NY Medicaid Responsibilities include, but not limited to: Prepares, posts, verifies, and records customer payments and transactions related to accounts receivable. Investigates and resolves denied claims in a timely manner. Work and manage commercial and Medicaid claims from all aging buckets including posting, appeals, and ADRs. Download and review electronic and paper EOBs for denied claims and line-item denials. Identifies and reviews delinquent accounts and pursues collection as needed. Responsible for all follow-through efforts performed and documented in a timely manner within compliance. Coordinates medical record requests with the main office for appeal purposes. Communicate accurate patient and billing information to the Insurance carrier. Prepare weekly reports to review with management with updated status and communication. Reviews explanation of benefits and adjusts accounts according to contracted rates for accurate AR. Demonstrated computer proficiency with knowledge of Microsoft Office. Maintains the strictest confidentiality and adheres to all HIPAA guidelines/regulations. Performs other related duties as assigned. Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member’s base salary and/or rate, several factors may be considered as applicable (e.g. location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget, and internal equity).

Requirements

Experience working with medical insurance, billing guidelines, and compliance, as well as knowledge of NY Medicaid and CT Medicaid portals.
Experience working with billing/AR claims including NY Medicaid

Nice To Haves

Knowledge of the ePaces portal is highly preferred.

Responsibilities

Prepares, posts, verifies, and records customer payments and transactions related to accounts receivable.
Investigates and resolves denied claims in a timely manner.
Work and manage commercial and Medicaid claims from all aging buckets including posting, appeals, and ADRs.
Download and review electronic and paper EOBs for denied claims and line-item denials.
Identifies and reviews delinquent accounts and pursues collection as needed.
Responsible for all follow-through efforts performed and documented in a timely manner within compliance.
Coordinates medical record requests with the main office for appeal purposes.
Communicate accurate patient and billing information to the Insurance carrier.
Prepare weekly reports to review with management with updated status and communication.
Reviews explanation of benefits and adjusts accounts according to contracted rates for accurate AR.
Demonstrated computer proficiency with knowledge of Microsoft Office.
Maintains the strictest confidentiality and adheres to all HIPAA guidelines/regulations.
Performs other related duties as assigned.