Accounts Receivable Specialist Remote

Aveanna Healthcare; Minnetonka (MN); On-site; USD 42,000 - 64,000; Full time

Benefits offered by this job

Medical, Dental, Vision insurance

401(k) with company match

Paid time off

CEUs for nurses

Employee Assistance Program

Job summary

Aveanna Healthcare in Minnetonka, MN seeks an Accounts Receivable Specialist to optimize collections across Medicare, Medicaid, and private payers. You will coordinate with branch staff and field leadership to maximize cash and reduce days outstanding.

Responsibilities include applying EMR changes, reviewing denials, submitting adjustments, and ensuring SOX 404 compliance. This role can be fully remote, in-office, or hybrid based on business needs, with standard 8:00–4:30 schedules.

Qualifications

• High school diploma or equivalent.
• Six months of healthcare insurance experience.
• Experience with PDGM reimbursement methodologies.
• Proficient in Microsoft Word and Excel.

Responsibilities

• Manage market specific AR metrics and cash goals.
• Ensure timely documentation from field staff.
• Review monthly non billable data and apply EMR changes.
• Communicate with field leadership and area VPs on status.
• Maintain AR and DSO targets and submit timely adjustments.
• Address payer denials and ensure refile/billing when needed.
• Provide exceptional customer service and maintain SOX 404 controls.

Skills

Healthcare billing

Accounts receivable

EMR systems

SOX 404 compliance

PDGM knowledge

MS Excel

MS Word

Education

High school diploma or equivalent

Tools

Homecare Homebase

Job description

Position Overview

The Accounts Receivable Specialist is responsible for the proper and complete handling of all aged patient accounts for the sole purpose of collecting the very highest percentage of every billed account. This position maintains close contact with branch location personnel while constantly and consistently attempting to ensure maximum payment from all payers is received timely. This includes payment for all primary, secondary, tertiary, or any other payer for all billed accounts including any and all guarantors for services provided. This is inclusive of claims to commercial, Medicare, Medicaid, and private pay accounts.

Schedule

Schedule: Monday through Friday - 8:00-4:30

Territory

Territory: Remote

Essential Job Functions

• Manage market specific performance metrics for the Revenue Cycle Management procedures (i.e. unbilled tracking over order, hours, etc.)
• Ensure timeliness of documentation received from internal stakeholders in the field
• Review monthly non billable data for lack of documentation
• Apply changes within EMR system
• Communicate with field leadership and area VPs on status and updates
• Maintain current AR at an acceptable percent
• Maintain DSO at an acceptable level.
• Achieve cash goal on a quarterly basis.
• Keep supervisor, and branch location personnel informed of any significant collection payer or processing issues.
• Submit adjustments in an accurate and timely manner.
• Work with Biller to ensure claims are refiled and/or billed to the second insurance in a timely manner.
• Understand payer specific requirements for submitting claims (i.e. includes CMN's, nursing notes, invoices, etc.).
• Understand and enforce SOX 404 controls
• Review and respond to correspondence received from payers.
• Address denials in an accurate and timely manner.
• Provide exceptional customer service.
• Evaluate data, reports, feedback, observations and other information in determining priorities.
• Use prior knowledge and industry specific, historical experiences in resolving problems.
• Conduct all assignments as a professional and role model with a sense of urgency.
• Use professional communication and conflict resolution techniques as required.
• Reference and reflect upon the Company mission, values, and strategic imperatives in completing and/or assigning all work.

Requirements

High school diploma or equivalent.

Minimum Six (6) Month Prior Healthcare Insurance Experience

Computer literate and ability to type, file and maintain audit records.

Preferences

• 2-4 years of Home Health Medicare billing & collections experience, including knowledge of PDGM reimbursement methodologies
• Experience using Homecare Homebase

Other Skills/Abilities

• Proficient in Microsoft Word and Excel
• Must be able to adhere to confidentiality standards and professional boundaries at all times
• Ability to remain calm and professional in stressful situations
• Attention to detail
• Time Management
• Strong commitment to excellence
• Effective problem-solving and conflict resolution
• Excellent organization and communication skills
• Quick-thinking and astute decision making skills

Physical Demands

• Must be able to speak, write, read, and understand English
• Occasional lifting, carrying, pushing and pulling of up to 25 pounds
• Prolonged walking, standing, bending, kneeling, reaching, twisting
• Must be able to sit and climb stairs
• Must have visual and hearing acuity

Environment

This role can be either fully in-office, fully remote, or a hybrid position as determined by the business needs. Position requires availability/accessibility during agency operating hours. This job requires adherence to a professional environment even when working remotely. This role routinely uses standard office equipment such as laptop computers and smartphones.

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Vaccination Requirements

As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.

Comprehensive Benefits (Full-time Positions)

• Competitive pay
• Medical, Dental, Vision, and Life insurance
• Voluntary Pet Insurance for your fur babies
• 401(k) with Company match
• Vacation time, Sick time, Paid Holidays, and Floating Holidays
• Tuition reimbursement and tuition discounts
• Free continuing education units (CEUs) for nurses
• Employee Assistance Program and Employee Relief Fund
• Employee Stock Purchase Plan

Our Mission

Our mission is to revolutionize the way homecare is delivered, one patient at a time. We are committed to innovation, clinical excellence, and compassionate care - because outcomes improve when care is personal. Join the revolution and make a meaningful difference in the lives of patients and families every day.

As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.