Seafield Center - Westhampton Beach, NY

posted 5 days ago

Full-time - Entry Level
Westhampton Beach, NY
Hospitals

About the position

The Accounts Receivable/Collections Representative at Seafield Center is responsible for ensuring timely and accurate reimbursement of claims to the facility. This role involves managing accounts receivable, following up on claims, and maintaining communication with insurance companies and clients to resolve billing issues. The representative will also assist in various billing tasks and ensure compliance with regulatory requirements.

Responsibilities

  • Review accounts receivable monthly to identify past due accounts.
  • Follow up on claims approximately four weeks after submission, contacting insurance companies as needed.
  • Maintain a bimonthly contact schedule with insurance representatives for past due claims.
  • Process additional information required by insurance companies within 48 hours.
  • Handle daily correspondence and explanation of benefits from insurance companies promptly.
  • Contact clients regarding outstanding bills in a tactful and confidential manner.
  • Assist other Billing/Accounts Receivable representatives as needed.
  • Maintain accurate notes on client accounts regarding claim status.
  • Organize and maintain filing systems for assigned accounts.
  • Enter client data into the billing system for billing and follow-up purposes.
  • Prepare and submit bills to insurance carriers within specified timeframes.
  • Review Medicare coverage for eligible clients prior to admission.
  • Assist with creating new client files and verifying insurance when necessary.
  • Check ledgers for outstanding balances for new admits.
  • Write off bad debts and notify necessary departments.
  • Stay updated on changes in billing procedures and regulatory requirements.
  • Run reports daily to ensure accurate posting of billing services and payments.
  • Keep an accurate Accounts Receivable Log of monthly stats.
  • Collect, collate, and post all charges to client ledgers.
  • Calculate daily room and board for billing and census purposes.
  • Compile and submit daily census to the Controller.

Requirements

  • High School diploma or equivalent required.
  • Two plus years of experience in accounts receivable, collections, and insurance billing.
  • Knowledge of managed care networks and insurance carriers.
  • Familiarity with Medicaid processes.
  • Proficient in computer usage, including EMR systems and Microsoft Outlook.
  • Ability to communicate effectively both verbally and in writing.
  • Ability to prioritize workload and multitask.
  • Ability to work independently.

Nice-to-haves

  • Further training in insurance collections or billing is helpful.
  • Experience with basic computer systems and modern office equipment.

Benefits

  • Generous Paid Time Off Policy
  • Medical, Dental, and Vision Insurance
  • Flexible Spending Account
  • Basic Group Life AD&D Insurance (No Cost)
  • Voluntary Life Insurance
  • Other Voluntary Benefits
  • Employee Assistance Program
  • Retirement Program (401k)
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