Accounts Receivable Specialist

Woods Services; Pennsylvania; On-site; USD 21,593 - 30,754; Full time

Benefits offered by this job

Medical Insurance (Health) and Dental

Vision Insurance

Life and Disability Insurance

PTO

On-site medical center

403b retirement plan

Continuing education programs

Tuition-assisted program

Career growth opportunities

Job summary

Woods Services in Pennsylvania is seeking an Accounts Receivable Specialist responsible for daily billing operations for Centers for Behavioral Health and RL Health, ensuring timely processing of claims and timely appeals when needed. You will analyze denials, monitor payer performance, and maintain spreadsheets for trend reporting.

Qualifications include a High School Diploma or GED, experience with Medicaid/Medicare and billing systems, plus proficiency in Excel and Word.

Qualifications

• High School Diploma or GED required.
• Experience with Managed Medicaid, Medicaid, Medicare, 3rd Party and Self Pay accounts.
• Experience with billing and collections systems.
• Proficient in Excel and Word.
• Strong analytical skills, attention to detail, and the ability to communicate effectively with both internal team and external customers.

Responsibilities

• Process Daily billing for Centers for Behavioral Health and RL Health claims.
• Monitors submitted claims to ensure processing.
• Reviews and resolves issues related to claim generation and rejection, errors and denials.
• Submit proper appeals to the payer per the payer specific guidelines.
• Communicates professionally with various payers, communicates all billing issues regarding contract short-payment overpayment trends to direct Supervisor or Upper Management.
• Works all assigned spreadsheets. Provides trending and claim denial information on the spreadsheet.
• Stays educated on industry changes and updated.
• Other duties as assigned.

Skills

Analytical skills

Attention to detail

Communication

Education

High School Diploma or GED

Tools

Excel

Word

Job description

Overview

We want you to join our team! We need deeply compassionate, committed and highly talented staff. The Woods organization is guided by their mission to support children and adults with disabilities or challenges to achieve their highest potential and independence through innovative and individualized approaches that promote learning and personal fulfillment.

Benefits

• Medical, Dental, Vision Insurance
• Life and Disability Insurance
• PTO - Paid time off
• On-site FREE medical center
• 403b retirement plan
• Continuing education programs
• Tuition-assisted program
• Career growth opportunities

Salary: Starting at $19 / hour – depending on experience / education

Job Summary

Responsible for daily billing operations for Centers for Behavioral Health and RL Health, including submission, monitoring, and follow-up of claims to ensure timely and accurate processing. Reviews and resolves claim generation issues, rejections, errors, and denials, and prepares and submits appeals in accordance with payer-specific guidelines. Communicates professionally with insurance payers and reports billing issues, including contract short payments and overpayment trends, to supervisors and upper management. Maintains and works assigned spreadsheets, providing claim denial and trending analysis, while staying current with industry updates and performing other duties as assigned.

Responsibilities

The Accounts Receivable Specialist will support all aspects of the Woods System of Care Outpatient Revenue Cycle and perform the following duties:

• Process Daily billing for Centers for Behavioral Health and RL Health claims.
• Monitors submitted claims to ensure processing.
• Reviews and resolves issues related to claim generation and rejection, errors and denials.
• Submit proper appeals to the payer per the payer specific guidelines.
• Communicates professionally with various payers, communicates all billing issues regarding contract short-payment overpayment trends to direct Supervisor or Upper Management.
• Works all assigned spreadsheets. Provides trending and claim denial information on the spreadsheet.
• Stays educated on industry changes and updated.
• Other duties as assigned.

Qualifications

• High School Diploma or GED certification
• Experience with Managed Medicaid, Medicaid, Medicare, 3rd Party and Self Pay accounts.
• Experience with billing and collections systems.
• Proficient in Excel and Word.
• Strong analytical skills, attention to detail, and the ability to communicate effectively with both internal team and external customers.

About Woods Services

Woods Services is a Pennsylvania and New Jersey-based non-profit population health network and advocacy organization that along with its six affiliate organizations provides life-long innovative, comprehensive and integrated health, education, housing, workforce, behavioral health and case management services to more than 22,000 children and adults in the intellectual and developmental disability, child welfare, behavioral and brain trauma public health sectors who have complex and intensive medical and behavioral healthcare needs.

Our Langhorne campus is home to 550 residents and provides outpatient and day programs.