Ehr Accounts Receivable Specialist

$41,600 - $49,920/Yr

Unclassified - Pearland, TX

Full-time

Pearland, TX

About the position

The Accounts Receivable Specialist at Maeville Pediatrics is responsible for the aggressive and tenacious pursuit of complete and accurate healthcare account receivables and collections. This role requires experience with medical and pediatric billing, as well as accounts receivable follow-up, which includes denial management, insurance follow-up, self-pay processes, and handling bad debt. It is critical for the individual in this position to develop and maintain good relationships with practice employees, managers, providers, vendors, and payers to ensure effective communication and collaboration in the revenue cycle management process. The specialist will manage accounts receivable to facilitate collections and proactively monitor accounts for reimbursements from third-party and government payers. Collaboration with the Revenue Cycle Management (RCM) team is essential to plan and identify solutions that successfully reduce accounts receivable aging. The role also involves preparing and analyzing accounts receivable reports, as well as weekly and monthly financial reports, to track performance and identify areas for improvement. In addition to these responsibilities, the Accounts Receivable Specialist will follow best practice requirements and maintain a positive relationship with other RCM team members. They will implement processes and action plans set forth by the Practice Administrator and conduct monthly adjustment reviews in the Electronic Health Record (EHR) system. The specialist will assist with payment posting and reconciliation of payments to bank deposits, the EHR system, and all payment systems to ensure that all payments are received and accounted for accurately. Utilization of practice management software and business intelligence software is required to identify non-payment trends, assess accounts receivable risk, lower denials, and decrease write-offs. The ability to develop and manage relationships and work cross-functionally with other teams within the organization and revenue cycle is crucial, as is the ability to work with all departments to build and drive organizational strategies and growth. The specialist will ensure insurance reimbursement and payer compliance, collaborate with billing team members to ensure all collections are captured accurately and timely, and perform any other office duties as assigned by the Practice Administrator. Excellent patient financial counseling and handling of patient billing inquiries are also key components of this role.

Responsibilities

• Responsible for A/R management to facilitate collections
• Proactively monitors accounts for reimbursements from third-party and government payers
• Collaborate with the RCM team to plan and identify solutions to successfully reduce AR Aging
• Prepares and analyzes accounts receivable reports, weekly and monthly financial reports
• Follows best practice requirements and maintains a positive relationship with other RCM team members
• Implements processes and action plans set forth by the Practice Administrator
• Monthly adjustment review in EHR
• Assist with payment posting and reconciliation of payments to bank deposits, EHR system, and all payment systems to ensure all payments are received and accounted for
• Utilization of practice management software and business intelligence software to identify non-payment trends, identify A/R risk, lower denials and decrease write-offs
• Ability to develop, manage relationships, and work cross-functional with other teams within the organization and revenue cycle as well as work with all departments to build and drive organizational strategies and growth
• Ensure insurance reimbursement and payer compliance
• Collaborate with billing team members to ensure all collections are captured accurately and timely
• Perform any other office duties as assigned by the Practice Administrator
• Oversight of collection agency process
• Excellent patient financial counseling and patient billing inquiry

Requirements

• High School Diploma
• 3-5 years of Medical Account Receivables experience
• 3-5 years of EHR experience, Epic required
• 3-5 years of claims management experience including claim submissions, rejections, edits, statuses, and monitoring clearinghouse activity
• Deep understanding of payer reimbursement, performance, and updates
• Payment posting experience
• Effective skills include critical thinking, decision-making, relationship building and problem-solving
• Deep understanding of third-party and government payers to include Medicare and Medicaid
• Excellent written, oral, and reading communication skills
• Microsoft Office Suite skill