Accounts Receivable Clerk

$45,760 - $47,840/Yr

Capital Staffing Solutions - King of Prussia, PA

Full-time - Entry Level

Remote - King of Prussia, PA

Administrative and Support Services

About the position

We are seeking an experienced Accounts Receivable Clerk with a focus on healthcare billing to join our team at Capital Staffing Solutions in King of Prussia, PA. This position is a hybrid role, requiring the candidate to work three days remotely and two days in the office (Tuesday and Wednesday) from 8:30 AM to 5:00 PM EST. The primary responsibility of this role is to manage and follow up on open accounts receivables, ensuring compliance with contractual obligations and resolving payment disputes in a timely manner. The ideal candidate will collaborate with interdisciplinary teams to address authorization issues and support the financial services functions for home care patients. The essential functions of the Accounts Receivable Clerk include analyzing accounts receivable reports and explanations of benefits (EOBs) to identify outstanding balances. The clerk will execute payment disputes promptly in accordance with payer, contractual, and regulatory guidelines, documenting all follow-up activities in the patient's medical record. Additionally, the clerk will ensure payments are accurate and identify any discrepancies related to contractual compliance, reporting issues and trends to management using the payer issue process. The role also involves completing assigned payer-related projects, conducting eligibility checks, managing payer changes, and handling crediting and resubmission of claims as necessary. The Accounts Receivable Clerk will assist in achieving and maintaining the department's cash goals while performing all patient financial services functions in compliance with CHOP, CHHC policies, and all relevant regulatory and accrediting agency guidelines. Other tasks may be assigned by management as needed.

Responsibilities

• Manage and follow up on open accounts receivables.
• Analyze accounts receivable reports and explanations of benefits (EOBs) to identify outstanding balances.
• Execute payment disputes promptly in accordance with payer, contractual, and regulatory guidelines.
• Document all follow-up activities in the patient's medical record.
• Ensure payments are accurate and identify discrepancies related to contractual compliance.
• Report issues and trends to management using the payer issue process.
• Complete assigned payer-related projects, documenting all follow-up activities effectively.
• Conduct eligibility checks and manage payer changes.
• Handle crediting and resubmission of claims as necessary.
• Assist in achieving and maintaining the department's cash goals.
• Perform all patient financial services functions in compliance with CHOP, CHHC policies, and relevant regulatory guidelines.
• Perform other tasks as assigned by management.

Requirements

• Minimum of 2 years in healthcare billing experience.
• Strong organizational skills to manage multiple tasks effectively.
• Excellent verbal and written communication skills.
• Proficiency with basic applications and computer systems.
• Strong data entry skills for accurate and efficient processing.
• High School Diploma or GED required.
• At least 1 year of experience with computers.

Nice-to-haves

• CPC (Certified Professional Coder) certification is a plus.

Benefits

• Free parking