Claims Specialist

Easter Seals Blake Foundation; Casa Grande (AZ); On-site; USD 42,000 - 62,000; Full time

Benefits offered by this job

Medical, Dental, and Vision

403b with 50% match up to 3%

Flexible Spending Account

Health Savings Account

Voluntary Life insurance

Voluntary Short-term Disability

Critical Illness insurance

Accident insurance

Employer paid life insurance

Long-term disability

Employee Assistance Program

Job summary

Easterseals Blake Foundation is seeking an Accounts Receivable Specialist to help ensure timely reimbursement of billed charges and to support financial health across the organization. You will reconcile patient and payer accounts, review adjustments, and maintain AR payors in the EHR system, while communicating with payors on issues and supporting collections when needed.

The role requires an associate degree or equivalent experience with AR background, and Spanish bilingual ability is

Qualifications

• Associate's degree in Accounting or Business Administration, or HS/GED with 3 years AR experience.
• Bilingual Spanish preferred.
• Proficiency with AR reconciliations, aging reports, and payor communications.

Responsibilities

• Performs AR reconciliations from customer level to the general ledger.
• Reviews and prepares adjustment entries, including debit memos, credit memos, and journal entries; reviews AR aging weekly.
• Maintains all AR payors in the EHR System.
• Writes appeals and communicates with payors on reimbursement issues.
• Collaborates with Medical Billing to ensure timely funds and resubmission of denied/rejected claims.
• Prepares weekly AR status reports for management and supports audit prep.
• Assists with collections duties and suggests AR process improvements.
• Maintains professional communication within the agency and with external contacts.

Skills

Accounts receivable

Spanish

Customer service

Computer proficiency

Education

Associate degree

HS/GED + AR exp

Tools

EHR System

Accounting software

Job description

Description

Easterseals Blake Foundation is celebrating 75 years of continued service in Arizona. We have expanded our services to better serve our community members. We are now one of Arizona's top providers of comprehensive behavioral health services, child welfare, and services for individuals with intellectual and developmental disabilities. We serve more than 40,000 individuals and families across 10 counties in Arizona. Are you ready to make profound, positive differences in people's lives every day?

We offer our full-time employees the following benefits:

• Medical, Dental, and Vision
• 403b and a 50% employer match up to 3%
• Flexible Spending Account and Dependent Flexible Spending Account
• Health Savings Account
• Voluntary Life insurance
• Voluntary Short-term Disability insurance
• Critical Illness insurance
• Accident insurance
• Employer paid life insurance, long-term disability insurance, and Employee Assistance Program

General Position Description:

Work with insurance carriers to ensure timely reimbursement of billed charges and claims.

Essential Duties and Responsibilities:

• Performs accounts receivable reconciliations from the customer level to the general Ledger. Reviews revenue postings for accuracy as needed.
• Reviews and prepares adjustment entries, which include but are not limited to debit memos, credit memos, and journal entries. Reviews accounts receivables aging report on a weekly basis.
• Reviews and maintains all receivable payors in EHR System.
• Writes appeals and corresponds with assigned payors on reimbursement issues discovered.
• Works closely with Medical Billing to ensure funds are received timely. Monitors resubmission of denied and/or rejected billings, including medical claims.
• Prepares a weekly A/R status report of assigned payors for management. Researches revenue transactions from financial statements for Management. Reviews files and financial data in preparation for the annual audit.
• Assists with collections duties as needed.
• Recommends Accounts Receivable process improvements.
• Participates in the process of ongoing professional development and meetings. Maintains comprehensive communication among all contacts within the agency, members, and external agencies. Models professional standards and ethics in accordance with EBF Code of Conduct, Strategic Plan, Mission, and Vision.
• Performs other duties as assigned.

Requirements

Minimum Requirements:

Associate's degree in Accounting or Business Administration or HS/GED with 3 years of accounts receivable experience required. Bilingual (Spanish) preferred.

Regulatory:

• Must be at least 18 years of age.
• Current, unrestricted AZ driver's license with no more than two (2) minor moving violations or one (1) accident within the past three (3) years. Three (3) years of driving experience required.
• Must be able to pass a criminal background check.
• Ability to obtain and maintain an AZ DPS Level 1 fingerprint clearance card (employer provides).

Skills/Job Knowledge/Abilities:

Able to establish and maintain a team atmosphere of communication and collaboration for all that reach out to the Department. Maintain up to date guidelines per industry/payor demands. Must be self-directed and be sensitive to cultural and linguistic diversity. Excellent customer service in stressful situations. Maintains a professional in appearance, communications, and actions. Excellent interpersonal communication skills. Excellent written communication. Possess a high level of computer proficiency.

Working Conditions/Physical Requirements (with or without accommodation):

Normal office environment with multiple interruptions in person and through computer and phone. Interacts with employees and members of the public on a daily basis. May lift normal office equipment and materials up to 25lbs. Visual acuity to read information from computer screens and forms. Able to speak clearly in conversations and general communications. Hearing ability for communication in persona, phone, and/or other electronic methods. Manual dexterity for typing and writing. Able to stoop, squat, reach, pull, push, stretch, ascend and descend stairs, stand and sit for long periods of time. May be required to work additional hours or days depending on circumstances.

Additional Information:

This job description is not intended to be an exhaustive list of all possible duties, skills, job knowledge, responsibilities, and/or qualifications. EBF reserves the right to revise the job description or to assign other duties to this position. This job description is not intended to create a contract or property right to continued employment between the employee and EBF.

Easterseals Blake Foundation and Aviva are an Equal Employment Opportunity and Affimative action employer that promotes a work environment of inclusion and diversity. We are committed to provide employment opportunities to all candidates based on their qualifications free of discrimination based on race, color, religion, national origin, sex (including pregnancy, sexual orientation or gender identity), age, disability, veteran status, genetic information, mental or physical disability, or any other characteristic protected by law.

If you have any questions, require assistance or reasonable accommodations while seeking employment, please contact the Human Resource Department at [e-mail] or call 520-327-1529 ext. 7000.