A/R CLERK - NCMR

Aultman Health Foundation - Canton, OH

Full-time

Canton, OH

Ambulatory Health Care Services

About the position

The primary purpose of the job position as Accounts Receivable Clerk is to accurately complete day-to-day functions relative to the completion of the accounts receivable/payable process within the organization. This role involves a thorough system review of all claims activity prior to billing, ensuring that all accounts are reconciled, and preparing and logging all invoices before they are transmitted to the accounts payable division. The Accounts Receivable Clerk plays a crucial role in maintaining the financial integrity of the organization by ensuring that all billing processes are executed accurately and efficiently. In this position, the clerk is expected to demonstrate an expert working knowledge of all systems and electronic tools utilized in the day-to-day processes. Responsibilities include accurately completing processes for posting to accounts, making adjustments, and performing reconciliations. The clerk must maintain an extensive knowledge of billing, reimbursement, and insurance regulations, as well as a comprehensive understanding of insurance products and benefit coverage as it relates to Durable Medical Equipment (DME) services. The role also involves billing review and collaboration with Patient Accounts and Billing on projects, including the analysis and implementation of new programs. The Accounts Receivable Clerk serves as a liaison between Aultman Hospital, Financial Services, and Information Technology, preparing required reports while overseeing various reporting requests and requirements. The clerk will confer with management to develop or implement internal policies or procedures based on regulatory changes and will serve as a resource to staff. Additionally, the clerk will work with IT to maintain databases in the system to ensure access to accurate information as needed daily. Effective communication with customers, staff, and community providers in a polite and professional manner is essential. Daily reconciliation of all locations' point of sales cash and posting payments is also a key responsibility. Other duties may be assigned, including coverage during vacations and staff time off, requiring the clerk to demonstrate proficiency and productivity in a fast-paced environment with unscheduled interruptions while maintaining acceptable judgment and responsibility for decisions, consequences, and outcomes.

Responsibilities

• Accurately complete processes for posting to accounts, adjustments, and reconciliations.
• Maintain extensive knowledge of billing, reimbursement, and insurance regulations.
• Demonstrate comprehensive knowledge of insurance products and benefit coverage related to DME services.
• Conduct billing reviews and collaborate with Patient Accounts and Billing on projects.
• Serve as a liaison between Aultman Hospital, Financial Services, and Information Technology.
• Prepare required reports and oversee various reporting requests/requirements.
• Confer with management to develop or implement internal policies or procedures based on regulatory changes.
• Serve as a resource to staff and assist in maintaining databases for accurate information access.
• Communicate effectively with customers, staff, and community providers in a professional manner.
• Reconcile daily point of sales cash and post payments.
• Participate in performance improvement activities and traditional/e-learning opportunities.

Requirements

• High School Graduate or equivalent (GED).
• Prior DME/Billing experience preferred.
• Familiarity with software programs, medical terminology, medical billing/ICD and CPT coding.
• Experience in accounts receivable and accounts payable practices.
• Excellent analytical skills.
• Excellent organizational skills and attention to detail.
• Ability to multi-task and prioritize tasks effectively.
• Ability to think strategically and manage confidential information.
• Works independently and takes initiative.

Nice-to-haves

• Experience in a fast-paced environment with unscheduled interruptions.
• Participation in performance improvement activities.