Accounts Receivable Specialist

Wyandot-Behavioral-Health-Network; Kansas City (KS); On-site; USD 40,000 - 56,000; Full time

Job summary

Wyandot-Behavioral-Health-Network is seeking an Accounts Receivable Specialist to manage collections for insured accounts and audit aged AR reports. Responsibilities include researching payer accounts, reconciling transactions, and submitting Medicaid/Medicare claims.

The role requires strong data entry, familiarity with billing/payor systems, and effective communication with payors and staff. Based at a central office with light travel to other sites.

Qualifications

• High school diploma or equivalent experience required.
• Experience with data entry and medical billing/payor systems.
• Ability to communicate effectively with third-party payors and staff.

Responsibilities

• Audit accounts on aged accounts receivable reports for all insurances over 30 days past due and complete collections.
• Report results of collection activities to the Accounting Service Manager weekly.
• Identify and correct inaccurate client accounts and process adjustments as needed.
• Prepare claims for Medicaid, Medicare and third-party insurance.
• Cross-train in Accounts Receivable, Billing and Collections to gain full process understanding.
• Generate independent reports for follow-up on assigned accounts.
• Handle incoming calls from clients and insurers and respond accordingly.
• Perform other assignments or projects within the department.

Skills

Relevant data entry experience

Accounting software knowledge

Billing/payor system knowledge

Effective communication

Excel proficiency

Education

High School Diploma or equivalent experience

Tools

Computerized accounting system

Job description

Description

Purpose:

• Using various accounts receivable reports, audits and performs collections for accounts as assigned with outstanding balances for all insurance. Reports activity on a regular basis as designated. Re-files for services when payment is inadequate. Reconciles accounts that are inaccurate.

Accountabilities:

• Audit accounts as assigned on an aged accounts receivable report for all insurance’s that are over 30 days past due. Perform and complete the collection process for these accounts through researching the client account/files and communication with appropriate staff and payors. Make notes regarding the action taken.
• Report results of collection activities to the Accounting Service Manager weekly.
• Identify and correct client accounts that have inaccurate transactions.
• Identify unacceptable payments and/or rejections and process subsequent resubmission of claims or adjustments to be made.
• Prepares claims for Medicaid, Medicare and third party insurance as assigned.
• Cross-trains in Accounts Receivable, Billing and Collections necessary to obtain a working knowledge/understanding of all areas of the billing and collections process.
• Generates independat reports needed for follow up on assigned accounts.
• Receives and responds to incoming calls from clients and insurers.
• Other assignments or projects as needed within the department.

Requirements

Qualifications:

Education:

• High School Diploma or equivalent experience required.

Experience:

• Relevant data entry experience.
• Experience in or knowledge of computerized accounting system.
• Knowledge of the billing and payor system of receivables in a medical insurance environment (i.e., contractual feels and adjustments, timely filing requirements, etc.).

Skills & Abilities:

• Ability to communicate effectively with third party payors, client, staff and consumers.
• Abile to create and maintain multiple spreadsheets in excel
• Ability to maintain confidential nature of work.
• Ability to recognize and be sensitive to cultural and ethnic differences.

Work Conditions and Considerations:

Based at a central office, light travel is required to other locations, businesses, and community sites to meet organizational needs. Workday regularly includes multiple and/or conflicting demands.