Accounts Receivable Coordinator

The Accounts Receivable Coordinator position is responsible for overall AR management, coding, coding documentation and as well as any other business office projects assigned.

Essential Functions:

• Follows and reports on status of delinquent accounts; has plan for collection and aggressively pursues. Documents work performed and action taken.

• Researches and resolves client billing issues. Monitors reimbursement rates from insurance companies.

• Reviews daily/weekly/monthly aged receivables report for accounts that require follow-up.

• Follows all insurance regulations.

• Prepares and timely files appeals for denied or underpaid claims.

• Maintains strictest confidentiality; adheres to all HIPAA guidelines and regulations.

• Excellent oral, written and interpersonal communications skills

• Audits patient accounts in practice management system and update as necessary, process refunds as needed.

• Perform documentation and coding audits to ensure compliance with Medicaid and other insurance guidelines.

• Maintains and sustains completion of tasks that are assigned to ensure corrections that are required are completed to resolve the account.

Non-Essential Functions/Other Duties:

• Performs any other tasks assigned by management

Supervisory Responsibility: Not applicable.

Travel Required: Minimal.

Physical Demands:

This is largely a sedentary role, with frequent sitting and computer keyboarding (10-key) required. Some lifting (up to 35 pounds), stooping and bending are required.

Qualifications:

Education:

• High school diploma or equivalent.

• Prefer coursework and/or experience in medical and/or health insurance billing, medical records management.

Experience:

• At least two years of previous medical insurance, billing, or claims processing related experience.

• Comprehensive understanding of accounts receivable in a healthcare setting

• Strong understanding and experience in billing processes and appeals.

• Working knowledge of managed care plans, insurance carriers, referrals and pre-certification procedures

• Strong knowledge of ICD-10, CPT, HCPCS, modifiers and coding documentation guidelines. CPT and ICD-10 certification a plus.

Skills and Competencies:

• Strong keyboarding and computer skills to include MS Office (Word and Excel) experience at an intermediate level. 10-key data entry proficiency.

• Knowledge of medical coding and third-party operating procedures and practices as well as knowledge of financial concepts.

• Experience working with basic office machinery and equipment, including computers, copiers, fax machines, multi-line phone systems, etc.

• Knowledge of HIPPA privacy and security rules and regulations.

• Excellent interpersonal skills, with the ability to communicate effectively with others.

• Strong organizational skills, with the ability to multi-task and meet deadlines.

• Demonstrates initiative, with the ability to manage self and workload.

• Strong analytical and problem-solving abilities. Good mathematical aptitude.

• Exemplary customer service focus, for both internal and external clients.

• Able to work both independently and be self-directed, as well as being able to perform in a team atmosphere.

• Displays professionalism and represents organization in a professional manner.

• Ability to abide by ethical guidelines and policies, including strict adherence to confidentiality and HIPPA guidelines.

Other:

• Must be 18 years old or older.