AR Specialist managing accounts receivable operations at PPG. Collaborating on cash applications, maintaining customer data, and improving business processes.
About the role
- Manage patient account receivables as a specialist at Community of Hope. Collaborating on billing tasks and ensuring timely claims processing.
Responsibilities
- Follow up on outstanding claims in a timely manner according to the assigned inventory and follow-up guidelines
- Complete denials and appeals within set guidelines
- Identify Insurance refunds and submits to Manager for review and approval
- Work claims to ensure billing is completed within 5 days of the claim date
- Correct errors to ensure claims are going out clean
- Submit claims daily to ensure timely filing
- Review and work status under Eligibility issues, pending, errors, insurance accepted/rejected, coding issues
- Expedite claim adjudication by resolving issues in ERA Denied, Rejections
- Research errors and make necessary edits to claims
- Contact patients and insurance companies as needed for resolution
Requirements
- High School diploma required
- Healthcare experience with Medicare and DC Medicaid is strongly required/preferred
- Minimum 2 years required and 4+ preferred experience in physician, dental and behavioral health business office environment, specifically in collection and billing
- Maintains confidentiality in all matters that include Patient Health Information and employee data
- Team player, highly organized and able to meet strict timely deadlines
- Ability to prioritize and simultaneously manage all daily tasks
- Ability to work in a fast-paced environment
- Superior knowledge of computers including MS Office, Practice Management Systems (eClinicalWorks) payer’s website navigation and contract management
- Able to perform basic and mathematical calculations, works credits on accounts and able to reconcile data
Benefits
- 8-hour workdays with paid lunch
- 3 weeks vacation (additional week after two years)
- 2 weeks sick leave
- 11.5 paid holidays
- one personal floating holiday annually
- Annual performance-based raises, up to 5% of your annual pay
- Tuition reimbursement & loan repayment (NHSC & DCHPLRP)
- Licensing reimbursement & CEU funding
- Medical, dental, vision, life & disability insurance
- 403(b) retirement
- Leadership development, internal promotions and career growth opportunities
- A culture grounded in equity, compassion, and well-being
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