Accounting Associate- Patient Payables

chaptershealth; Town of Florida (NY); Sur place; USD 25 000 - 37 000; Plein temps

Résumé du poste

Chapters Health System seeks an Accounts Payable Representative to ensure accurate payments to vendors and providers. You will process invoices and claims, perform research, obtain approvals, and maintain vendor relationships in a healthcare environment.

The role covers overhead and patient payables, with emphasis on accuracy, confidentiality, and timely processing. Previous AP experience and proficiency with Microsoft Office are required; a patient-pay experience is a plus.

Qualifications

• Minimum of one year accounting experience including General Ledger, AP, A/R or Financial Reporting.
• For Patient Payables - preferred two years in medical claims processing, medical biller or coder.
• Proficient in Microsoft Outlook, Excel, Word and Windows Explorer.
• Team player, self-starter, accurate and detail-oriented.
• Professional attitude; highly organized; ability to manage many tasks.
• Maintains confidentiality and strong time management.

Responsabilités

• Process invoices/check requests using automated AP system.
• Enter vouchers into AP system and review for accuracy; attach receipts.
• Assign correct affiliate/GL account coding to each voucher.
• Assigns approver and submits for approval.
• Obtain W-9 and ACH information for new vendors.
• Communicate with vendors and teams on invoice questions.
• Update required logs and ensure timely payment of invoices.
• Assist with annual 1099 process.
• Analyze claims submissions to determine payment eligibility for patient payables.
• Resolve pended/secondary/ prior approval claims.
• Address provider inquiries regarding claim adjudication.
• Research overpayment/underpayment and resolve with supervisor.
• Maintain knowledge of third-party billing and reimbursement requirements.
• Record keeping of vendor details (TIN, NPI, addresses, remittance, contact).

Connaissances

Accounting experience

Microsoft Office

Team player

Detail oriented

Confidentiality

Time management

Description du poste

It’s inspiring to work with a company where people truly BELIEVE in what they’re doing!

When you become part of the Chapters Health Team, you’ll realize it’s more than a job. It’s a mission. We’re committed to providing outstanding patient care and a high level of customer service in our communities every day. Our employees make all the difference in our success!

Role:
The Accounts Payable Representative is responsible for ensuring accurate payments to vendors/providers which includes processing invoices/claims, conducting research, obtaining approval, recordkeeping, and maintaining vendor/provider relationships.

Qualifications:

• Minimum of one (1) year accounting experience to include General Ledger, AP, A/R or Financial Reporting
• For Patient Payables - preferred two (2) years experience in medical claims processing, medical biller or coder.
• Computer experience to include Microsoft (Outlook, Excel, Word) and Windows Explorer
• Team player and self-starter who is accurate and detail-oriented
• Professional attitude
• Highly organized, with the ability to effectively manage many tasks simultaneously
• Able to maintain a strict level of confidentiality
• Proficient in time management skills with the ability to prioritize a variety of duties and complete projects within assigned time frames

Competencies:

• Satisfactorily complete competency requirements for this position.

Responsibilities of all employees:

• Represent the Company professionally at all times through care delivered and/or services provided to all clients.
• Comply with all State, federal and local government regulations, maintaining a strong position against fraud and abuse.
• Comply with Company policies, procedures and standard practices.
• Observe the Company's health, safety and security practices.
• Maintain the confidentiality of patients, families, colleagues and other sensitive situations within the Company.
• Use resources in a fiscally responsible manner.
• Promote the Company through participation in community and professional organizations.
• Participate proactively in improving performance at the organizational, departmental and individual levels.
• Improve own professional knowledge and skill level.
• Advance electronic media skills.
• Support Company research and educational activities.
• Share expertise with co-workers both formally and informally.

• Participate in Quality Assessment and Performance Improvement activities as appropriate for the position.

Job Responsibilities:

Overhead Payables:

• Process invoices/check requests using automated AP system
• Enters vouchers into AP system and reviews for accuracy. For employee expense reports, make sure all receipts are attached and adheres to policy.
• Assigns correct affiliate/GL account coding to each voucher.
• Assigns approver and submits for approval.
• Adds any voucher that requires special attention to the special handling log.
• For new vendors, obtains a copy of the vendors’ W-9 as well as ACH information for proper set-up into the system.
• Communicates with vendors and teams with regards to problems/questions concerning invoices.
• Updates all required logs.
• Reviews system queues/reports to ensure all invoices are being paid in a timely manner.
• Assists with annual 1099 process.

Patient Payables:

• Efficiently and accurately analyzes claim submissions to determine whether the claim should be accepted, rejected, approved or denied for payment based on the legally binding agreement and/or fee schedules and the patient conditions.
• Resolves pended claims, secondary review claims and prior approval requests.
• Reviews and addresses provider inquiries regarding claim adjudication, including incoming phone calls, correspondence, and appeals.
• Research requests for overpayment/underpayment efficiently and accurately, submit data and resolution to the supervisor for final determination.
• Maintains a thorough knowledge of third-party billing and reimbursement requirements.
• Ensure accurate record keeping of all vendors, including TIN, NPI, Physical Address, Remit Address and Vendor Contact person’s email address and phone number.

Compensation Pay Range:

$18.43 - $27.43

This position requires consent to drug and/or alcohol testing after a conditional offer of employment is made, as well as on-going compliance with the Drug-Free Workplace Policy.

All Chapters Health System employees performing services for Florida affiliates are submitted through the Florida Care Provider Background Screening Clearinghouse to verify eligibility after a conditional offer of employment is made as well as ongoing eligibility. For more information, please visit https://info.flclearinghouse.com/.