Job Offer: Accounts Receivable Medical Billing Associate:
Accounts Receivable Medical Billing Associate
POSITION SUMMARYThe primary purpose of this job offer is to bill for program services, and collect funds on aged accounts receivable for Northern Rivers and affiliates
ESSENTIAL tasks AND RESPONSIBILITIES include the following. Other tasks may be assigned. Employees are expected to be awake and alert while working.
» Perform billing for a variety of programs/services governed by contract or grant agreements.
» Submit billing data to insurance providers (including Medicaid) via electronic and/or paper claims.
» Perform posting charges and completion of claims to payers in a timely fashion.
» Clear knowledge of claims processing, as well as rules of multiple insurance companies.
» Knowledge to interpret claim denials, work denials in a timely and efficient manner. When needed complete the appeal process.
» Process insurance and Medicaid claims, (ensuring claims are paid in a timely manner and resubmitting when necessary).
» Collect on aged Accounts Receivable balances on a recurring basis and follow up with multiple payers to effect cash collections of accounts.
» Carry out billing, collections and reporting activities according to specific deadlines.
» Research and resolve payment discrepancies and process Adjustments
» Communicate with customers via phone, email, mail or personally as needed.
» Monitor activity details for nonpayment, delay payments and other irregularities.
» Gain knowledge and proficiency in the billing systems utilized by the organization.
» Prepare accounting journal entries and reconcile accounts as assigned.
» Act as back up support to team of A/R billing specialists.
» Prepare analysis, reports, and other tasks as assigned by the manager, Director of Finance or CFO.
Sets the pace of work for the group and/or shows other workers in the group how to execute assigned tasks. May train and provide feedback on tasks. May review work of external providers. This is not true - this is a medical billing position - other AR staff are not all going to be doing medical billing. We may have this person train other staff to assist but not the whole staff. Not sure if can be edited I did not see another option within the JAQ.
Functions as an independent contributor without specific responsibility to give direction or supervision to other staff.
Direct supervision: close supervision related to specific work activities, assignments, methods, etc.; usually receive frequent review over job activities; instructions are detailed and assignments are typical short-term. Typical assignments are regularly checked by manager.
to execute this job prosperously, an individual must be able to execute each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or capability required. Reasonable accommodations may be made to enable individuals with disabilities to execute the essential functions.
EDUCATION and/or practice
Requires an Associates degree with 5-7 years practice, or
Bachelors with 3-4 years practice.
CERTIFICATION / LICENSURE
Thorough knowledge of a specialized area or technical field (such as Residential Care, Child Care, Information Technology, Food Service, Nursing, Accounting, Industrial Arts/Maintenance, or other specialized area), which involves thorough expertise knowledge plus the application of technical expertise.
COMMUNICATION and CONTACT with OTHERS
Requires capability to communicate clearly. Communication involves interpersonal contact with clients/families or employees in other departments to accomplish work or cooperation with team members to accomplish a task. May also involve routine telephone or written correspondence with clients, families, public, vendors, etc., answering requests for information or obtaining facts. May obtain, present or discuss data, but only as pertinent to specific assignments.
Work is performed under occasional supervision with regular guidance and follow-up. Standard procedures are followed and unusual problems are referred to the manager. Suggestions for decisions and resolutions that are within accepted guidelines are encouraged.
CONSEQUENCES of ERRORS
Confined: Errors are usually discovered in succeeding processes but normally only cause minor irritations that are typically confined to a single department group, house, or classroom in which they occur. Such errors could cause minor adverse effect to clients or other departments, could cause delays, or could cause an inconvenience or some minor financial obligation.
capability to read and comprehend basic instructions, short correspondence, and memos. capability to write basic correspondence. capability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization.
capability to apply common sense knowledge to carry out detailed but straightforward written or oral instructions. capability to deal with problems involving a few concrete variables in standardized situations.
ORGANIZATIONAL SCOPE and IMPACT
The position provides services to all affiliates.
FINANCIAL MANAGEMENT RESPONSIBILITY
No financial management responsibility.
capability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. capability to compute rate, ratio, and percent and to draw and interpret bar graphs.
Proficient computer expertise including Windows operating environment using MS Office applications. Demonstrated use of intermediate computer operations and intermediate software packages, (word processing, spreadsheet, graphics, etc.).
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.
Generally no adverse environmental conditions are present. The work is sedentary. Typically, the employee may sit comfortably to do the work, with some walking; standing; bending; carrying of items such as papers, books, small parts; driving an automobile; etc. No special physical demands are required to execute the work.
The physical demands described here are representative of those that must be met by an employee to prosperously perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to execute the essential functions.
ABOUT NORTHERN RIVERS