AR Collections Specialist

Sevita Health; Minneapolis (MN); On-site; USD 40,000 - 70,000; Full time

Job summary

Join a forward-thinking company dedicated to making a positive impact on lives through specialized health care. As an Accounts Receivable Collections Specialist, you will play a crucial role in ensuring timely and accurate claims processing. This position offers meaningful work, job security, and opportunities for career advancement within a supportive team environment. With a commitment to quality services, you will contribute to the mission of empowering individuals to lead independent lives. If you are self-motivated, detail-oriented, and ready to make a difference, we want you on our team!

Benefits

Full compensation/benefits package

401(k) with company match

Paid time off

Holiday pay

Career development opportunities

Qualifications

• 2-3 years of experience in Medical Collections preferred.
• Knowledge of medical service codes and forms is essential.
• Strong understanding of compliance in medical collections.

Responsibilities

• Review and work in Denial Workflow for tasks with follow-up dates.
• Prepare appeal packets and maintain documentation.
• Ensure compliance with internal controls and audit requirements.

Skills

Medical Collections

ICD-10 Codes

CPT Codes

Analytical Skills

Communication Skills

Detail-oriented

Microsoft Office

Education

High School Diploma

Associate Degree in Finance

Bachelor's Degree in Finance

Job description

Accounts Receivable Collections Specialist

Do you have experience in Accounts Receivable/Collections and a desire to work for a company that positively impacts the lives of others? In the AR Collections Specialist role, you will contribute to the company’s commitment to serve others by sending claims to the payer in a timely and accurate manner.

1. Review and work in Denial Workflow (DWF) for tasks with follow-up dates that are set to expire on that day and for tasks without a payer response once past 30 days from billing
2. Work credit balances on the aging and overpayment account and follow the credit balance procedure for resolution
3. Prepare appeal packet as required by payer, scan and save documentation to be sent, and update DWF with notes and a follow-up date
4. Update collection procedures as necessary
5. Review and work denials in workflow system, payer portal, and/or clearinghouse portal daily
6. Follow-up with Field on updates to items assigned to them that are past follow-up date
7. Update DWF with clear concise notes as claims are worked
8. Review unapplied cash log for any items that can be applied and work with cash team to resolve
9. Complete necessary forms and provide appropriate support for refunds, cash moves, sales adjustments, and transfer of liability
10. Ensure internal control compliance with all assigned areas and other audit requirements
11. Maintain an effective control environment for the accounting operations

Qualifications:

1. High school diploma or equivalent required; Associate or Bachelor's degree in a finance-related field preferred
2. 2-3 years of experience with Medical Collections in a high-volume environment preferred. Knowledge of ICD-10 diagnosis codes, CPT medical service codes, UB-04, and HCFA-1500 forms
3. Strong understanding of medical collections compliance, Medicare, Medicaid, Medicaid managed care, Commercial, Workers Comp, and Auto-no-fault payer types
4. Self-motivated, detail-oriented, and highly organized with the ability to multi-task
5. Excellent communication skills, analytical skills, and the ability to collect information from multiple sources
6. Proficient in Microsoft Office

Why Join Us?

• Full compensation/benefits package for full-time employees
• 401(k) with company match
• Paid time off and holiday pay
• Meaningful work adding value to the organization’s mission alongside a great team of coworkers
• Job security with nationwide career development and advancement opportunities

We have meaningful work for you – come join our team – Apply Today!

Sevita is a leading provider of home and community-based specialized health care. We believe that everyone deserves to live a full, more independent life. We provide people with quality services and individualized supports that lead to growth and independence, regardless of the physical, intellectual, or behavioral challenges they face. We’ve made this our mission for more than 50 years. With corporate operations located in the Boston Seaport, Lawrence, Massachusetts, and Edina, Minnesota, today, our 40,000 team members continue to innovate and enhance care for the 50,000 individuals we serve.

As an equal opportunity employer, we do not discriminate on the basis of race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age, disability, genetic information, veteran status, citizenship, or any other characteristic protected by law.