700 8th Ave. West, Suite 101, Palmetto, FL 34221  |  941-776-4000

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Position: Accounts Receivable Specialist
Location: Palmetto, Fl
Date of Vacancy: 05/10/18
Closing Date: Open until filled
Job Summary:

Responsible for identifying and collecting balances due from third party carriers, submitting charges to insurance carrier, following up on charges submitted to third party carriers when appropriate, and writing off bad debt of accounts after approved by the manager, supervisor, and/or Revenue Cycle Director. Responsible for gathering and disseminating of information related to billing and reimbursement as well as implementing policies, procedures, and protocols to facilitate the needs of the organization with billing and reimbursement related issues. Provide training to staffed clinicians as assigned. Assist Supervisor and other departmental personnel as needed.

  • Coordinates and reviews the day to day duties with the A/R Manager or Revenue Cycle Director
  • Completes assigned task(s) in a timely manner
  • Responsible for notifying supervisor, manager, or Revenue Cycle Director of immediate or pending system errors, system problems, insurance plans not paying at the approve rate.
  • Handles telephone communications.
  • Set up payment plans on patient balances.
  • Responsible for working self-pay accounts, verifying eligibility, and converting the patient visit to the appropriate plans.
  • Identifies denial trends/patterns and reports to A/R Manager, and/or Revenue Cycle Director.
  • Responsible for notifying A/R Manager, and/or Revenue Cycle Director of immediate or pending system errors, or system problems.
  • Responsible for ensuring all denials are identified and the items are worked to the fullest extent, corrected, re-submitted as applicable, and in a timely manner.
  • Write-off uncollectible accounts after approved by the A/R Manager and/or Revenue Cycle Director.
  • Direct problem accounts to the appropriate unit leader, supervisor, manager, and/or Billing Director.
  • Responsible for Subpoena requests, Law firm Requests, Bankruptcies, etc.
  • Electronically void or adjust any incorrect payments to Medicaid FQHC and Medicare FQHC upon supervisor approval. Maintains log and ensures void has been processed by Medicaid and Medicare and adjusts the account in the practice management system.
Requirements:
  • High school graduate or GED
  • Familiarity with medical terminology
  • Excellent organizational skills
  • Experience with coding/medical billing, Managed Care, Medicaid, Medicare, and Private Insurance.

 
    **MCR Health Services is a drug free workplace. All job applicants selected for employment are required to submit to a pre-employment drug test.  IND123

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