Goldson Spine Rehabilitation Center - Plantation, FL

posted about 2 months ago

Full-time - Senior
Plantation, FL
Ambulatory Health Care Services

About the position

Goldson Spine Rehabilitation Center (GSRC) is seeking a full-time Accounts Receivable Collection Specialist to join our team. With over 25 years of experience in providing multi-disciplinary services including chiropractic, physical therapy, massage therapy, and psychotherapy, we are dedicated to enhancing the well-being of every individual who visits our facilities. The primary responsibility of the Accounts Receivable Collection Specialist is to ensure the timely payment of outstanding invoices while minimizing bad debt through effective management of collections activities. This role is crucial in maintaining positive relationships with our customers and ensuring that our billing processes are efficient and compliant with industry standards. In this position, you will evaluate existing procedures and develop new ones to enhance operational efficiency. You will act as a representative for the billing department during deposition sessions as required, and you will be responsible for gathering and presenting weekly, monthly, and quarterly reporting data for the Accounts Receivable department. Open communication with management regarding any irregularities, trends, or concerns is essential, as is the ability to follow up with management and other departments to ensure efficient processing of accounts. You will also be tasked with developing and maintaining relationships with carriers to track and target aging accounts, ensuring that performance standards are met. Completing cash logs, reviewing A/R balances for timely payments, and providing written correspondence for audit requests are also key responsibilities. Additionally, you will document the status of billing and payment processes in patient accounts for future follow-up and stay current on payer requirements through research and coaching. Understanding correspondence from third-party payers, investigating payment denials, and resolving issues with payers or patients are critical components of this role.

Responsibilities

  • Evaluate existing procedures, develop new ones, and integrate technological advancements to enhance efficiency.
  • Act as a representative for the billing department during deposition sessions as required.
  • Gather and present weekly, monthly, and quarterly reporting data for the AR department.
  • Openly and consistently communicate any irregularities, trends, or concerns to management.
  • Continually follow up with management and other departments to ensure efficient processing.
  • Develop and maintain relationships with carriers to track and target aging accounts to meet performance standards.
  • Complete cash logs as required.
  • Review A/R balances to ensure timely and accurate payments are received.
  • Provide written correspondence to audit requests to include investigation and obtaining of appropriate documentation to be attached to the response.
  • Document the status of billing and payment process in patient account for future follow-up.
  • Keep current on payer requirements via research and coaching to ensure guidelines and procedures are being met for each payer.
  • Review and understand correspondence received from third-party payers including remittance advice, Explanation of Benefits, denial letters, etc.
  • Investigate payment denials, identify the reasons behind them, and resolve the issues with the payer or patient to rectify the situation.

Requirements

  • Minimum of five (5) years of medical insurance/healthcare billing and collections experience with a deep understanding of medical billing rules and regulations.
  • ICD-10: 2 years (Preferred)
  • Accounts receivable: 3 years (Preferred)
  • Strong working knowledge of CPT and ICD10 codes and procedural modifiers, claim forms, HIPAA, billing and insurance regulations, medical terminology, insurance benefits, and appeal processes.
  • Certified Coder is a plus.

Nice-to-haves

  • Ability to clearly and professionally communicate with customers and team members
  • Ability to negotiate payment arrangements and terms with customers while balancing the company's interests.
  • Ability to identify and resolve payment issues, discrepancies, and disputes in a timely manner.
  • Ability to pay attention to detail
  • Customer Service Orientation
  • Proficiency in using accounting software, customer relationship management (CRM) systems, and other systems as needed
  • Ability to adapt to changing business environments, customer needs, and collections strategies.

Benefits

  • Competitive salary
  • Employee discounts
  • Flexible schedule
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