Simedhealth - Gainesville, FL

posted 2 months ago

Full-time - Entry Level
Gainesville, FL
Ambulatory Health Care Services

About the position

SIMEDHealth is currently seeking an Accounts Receivable (AR) Senior Counselor to join our team in Gainesville, FL. This role is crucial for managing the accounts receivable for assigned SIMEDHealth providers and handling various AR-related projects. The AR Senior Counselor will work closely with aging reports to ensure that accounts are maintained within established goals, identify insurance issues and denials, and collaborate with carriers to resolve and recover funds. Additionally, this position involves managing patient due balances and referring collection issues to the appropriate counselor. A key aspect of this role is the ability to interact with patients and providers in a friendly, professional, and compassionate manner, adhering to our collection policies and procedures within set time frames while working independently. The ideal candidate for the AR Senior Counselor position will possess a high school diploma or equivalent and have a minimum of three years of medical office billing experience, along with at least two years of accounts receivable experience. Proficiency in Microsoft Word and Excel is required, as well as the ability to analyze data and recommend corrective actions to improve collections. The AR Senior Counselor will be responsible for the accounts receivable of assigned SIMEDHealth physicians, ensuring that outstanding insurance balances are reviewed and managed effectively, particularly those exceeding 60 days. Timely responses to insurance and patient inquiries are essential, as is the review of all claims for assigned physicians. Continuous improvement of collection percentages for the assigned group is a critical responsibility, and participation in departmental meetings is expected to contribute to the overall operations of the department. This position may involve additional duties as needed to support team goals.

Responsibilities

  • Manage the accounts receivable for assigned SIMEDHealth physicians.
  • Work with aging reports to ensure accounts are within goals.
  • Identify insurance issues and denials, and work with carriers for resolution.
  • Manage patient due balances and refer collection issues to the appropriate counselor.
  • Respond to insurance and patient inquiries in a timely and accurate manner.
  • Review all outstanding insurance balances for assigned physicians greater than 60 days.
  • Ensure that insurance balances do not exceed time limit filing.
  • Review all claims for assigned physicians.
  • Participate in departmental meetings and contribute to the overall operations of the department.
  • Continuously improve the percentage of collections for the assigned group.

Requirements

  • High school diploma or equivalency REQUIRED
  • Minimum three years of medical office billing experience REQUIRED
  • At least 2 years of previous accounts receivable experience with problem-solving skills
  • At least 2 years of experience using Microsoft Word and Excel Programs
  • Ability to manage multiple priorities and deadlines REQUIRED
  • Ability to recognize, analyze and recommend corrective action to improve collections.

Benefits

  • Health insurance
  • Life insurance
  • Dental insurance
  • Vision insurance
  • 401(k)
  • Profit sharing
  • Paid time off
  • Paid holidays
  • Wellness discounts
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