Accounts Receivable Specialist (Patient Accounting)

Accounts Receivable Specialist (Patient Accounting)

Additional Position Details: FTE: 1.000000 | Full Time | Primarily Mon - Fri / 8AM - 5PM

Position Summary

TheAccounts Receivable Specialists Perform account analysis and perform functions required to receive reimbursement from governmental and non-governmental insurance carriers in an efficient, productive, and compliant manner following departmental policy and procedures. Works proactively, assisting the public with medical financial responsibilities in a way which will provide continual success for the Asante organization.

As an Accounts Receivable Specialist at Asante, you will have the opportunity to:

• Consistently complete all standard and special monthly aging reports contributing to Asante's financial success by requiring reimbursement from insurance carriers in a timely manner. Check status of claims by telephone, insurance websites, MMIS, FISS, ePremis, and/or other means available. Maintains secure passwords with multiple insurance carriers for access to websites.
• Consistently complete weekly Medicare credit balance report. Adjust claims on the Medicare Florida Shared System as needed to resolve credit balances. Takes appropriate action on all Medicare and Medicaid credits within 45 days.
• Consistently complete review of daily late charge report to determine if Medicare or Medicaid accounts require adjustments to add or remove charges that were not reflected on the original claim submission. Provides information to Supervisor concerning departmental trends in late charges. (Late charges for all other carriers are worked by the Patient Account Reps).
• Review denial reports and take back reports for governmental and non-governmental insurance carriers, in electronic and other formats, & takes appropriate action on accounts. Review any vouchers, remittance advice and explanation of benefits given by the cashiering staff. Take appropriate action on accounts denied for non-covered service or procedure, no preauthorization, timely filing, coding issues and other line item denials.
• Review monthly status report from Medicaid Adjudication Service for Medi-Cal & Other States Medicaid accounts. Works line item denials and accounts with balances. Provides requested information to Medicaid Adjudication Service staff as requested.
• Distribute appropriate copies of vouchers, remittance advice and explanation of benefits to Patient Account Reps for items to be worked. This may include denials for missing medical records, chart notes, other carrier explanation of benefit copies, invalid Subscriber identification numbers, or additional information needed from the patient.
• Serve as the AR Specialist Lead or ARS Coordinator on monthly rotation.AR Specialist Lead will assist with task related issues in their area. ARS Coordinator will assign duties as needed to cover for vacations or absent staff.
• Monitor claim rejections for trends and issues, and reports findings to supervisor.

Qualifications

Education

• High school diploma, GED, or equivalent experience demonstrating the ability to effectively communicate as needed for the position, required
• Associate or Bachelor Degree,preferred

Experience

• Prior experience in medical billing or accounting/business office function,required

Total Rewards PackageEarn a competitive and progressive salaryBenefit from health plans that are focused on health and wellness including medical, dental, vision and wellness beginning within 30 days of hireOn-call employees receive an additional 15% for flexibilityPlan for your future with a retirement package that includes up to 6% employer contributionExperience a healthy work-life balance with our generous earned time off (ETO)Continue to enhance your education through our tuition reimbursement and tuition repayment plansMore About Asante and Southern OregonAsante is a local, community owned and governed, not-for-profit organization that provides comprehensive health care services to more than 550,000 people in a nine-county area of Southern Oregon and Northern California. It includes Asante Ashland Community Hospital in Ashland, Asante Rogue Regional Medical Center in Medford, Asante Three Rivers Medical Center in Grants Pass, Asante Physician Partners throughout the Rogue Valley, and additional health care partnerships. Virtually all medical specialties and services are represented within an organization dedicated to providing exceptional care. With over 5,000 employees, Asante's entities offer outstanding opportunities for career advancement and professional growth. At Asante your work positively impacts your family, friends, neighbors and the community. Experience the difference in how you work, how you live and how you connect.At Asante, we are guided by our values below. Explore Asante more by visiting - Respect - Honesty - Service - TeamworkAsante is an equal opportunity employer. We are committed to employ and advance in employment women, minorities, qualified individuals with disabilities and protected veterans.