REMOTE Accounts Receivable Specialist Job at The MH Group LLC, Springfield, MA

RjU4TWl5MUpKREF4VU9SUmc1RW5xbWRhbVE9PQ==
  • The MH Group LLC
  • Springfield, MA

Job Description

Job Description

Job Description

Description:

We are seeking an Accounts Receivable Specialist to join our client's team! As an AR Specialist, you will play a crucial role in managing financial transactions related to receivables. Your responsibilities will include processing invoices, reconciling accounts, and ensuring timely collections. We are seeking a detail-oriented professional who can contribute to the financial health of our organization.

Responsibilities:

  • Reviewing and Approving OTP Billing: Ensure accurate and timely processing of billing transactions related to outpatient treatment programs (OTP).
  • Investigating Denials and EOB (Explanation of Benefits): Analyze claim denials and EOBs to identify discrepancies and resolve issues promptly.
  • Understanding Medicare and ACO/MCOs: Stay informed about Medicare regulations and managed care organizations (ACO/MCOs) to optimize billing processes.
  • Payment Rate Reconciliation: Verify payment rates against contractual agreements and reconcile any discrepancies.
  • Conducting Audits and Claims Reviews: Perform audits on assigned claims, ensuring compliance and accuracy.
  • Processing High-Volume Billing Denials: Handle both manual and electronic processing of billing denials efficiently.
Requirements:
  • Experience: 2-3 years of experience in accounts receivable or billing in the behavior health field required .
  • Education: High School Diploma or GED (required).
  • Medical Billing Knowledge: Proficiency in CPT, ICD-10, and HCPC coding, along with familiarity with medical terminology. Overall understanding of managed care products (HMO, PPO, ACO, MCO, etc.).
  • Independence and Remote Work: Ability to work independently and remotely while maintaining daily and monthly routines. Commitment to preserving the integrity of electronic health records (EHR).
  • EOB Understanding: Skilled at reading and comprehending explanations of benefits (EOBs).
  • Medicare and Medicaid Expertise: Strong working knowledge of Medicare and Medicaid benefits.
  • Analytical and Problem-Solving Skills: Ability to analyze complex billing scenarios and solve related issues.
  • Attention to Detail: Meticulous attention to detail in billing processes.
  • Team Player: Collaborative attitude and ability to work effectively within a team.
  • Positive Attitude and Time Management: Demonstrates a positive outlook and effective time management skills.
  • Microsoft Office Competency: Basic proficiency in Microsoft Word and Excel.
  • Accurate Record Keeping: Maintains precise billing records, generates reports, and identifies discrepancies.
  • Accounts Receivable Management: Competent in monitoring AR and ensuring correct payment rates from payers.

Job Tags

Similar Jobs

SYLVAN LEARNING - LIMA, OH

Part Time Teacher Job at SYLVAN LEARNING - LIMA, OH

Why did you first decide to become a teacher? At Sylvan, we remember why. As an Instructor at Sylvan, your primary responsibilities are:Just Teaching. No Lesson Plans. No PreparationAs a part-time Sylvan Instructor, you will be trained on the Sylvan curriculum and given... 

U.S. Army

Stryker Systems Maintainer (91S) Job at U.S. Army

 ...Enlist as a Soldier into the United States Army and As a Stryker Systems Maintainer, youll work as part of a team to maintain the Stryker vehicles and keep the vehicles and the operating systems running smoothly. Youll diagnose and troubleshoot malfunctions, and repair... 

CHS Inc

Hazmat CDL Driver Job at CHS Inc

 ...countries. At CHS, we are creating connections to empower agriculture. Summary CHS Southwest Grain in Dickinson, ND is looking for a Hazmat Truck Driver to deliver fuel, propane, and other oils to our local CHS customers in a timely manner. Responsibilities Ensure accurate and... 

Honest Abe Roofing of Orlando, FL

Field Manager Roofing Job at Honest Abe Roofing of Orlando, FL

 ...Job Description Job Description At Honest Abe Roofing Orlando, our passion is delivering the highest quality roofing solutions...  ...budget tracking, job costing, and materials inventory Manage subcontractor relationships to ensure timely delivery of services Train and... 

Solvency Now Book Keeping

Bookkeeper Remote Job at Solvency Now Book Keeping

 ...Job Description Job Description Salary: $20 - $29 Overview Job Title: Bookkeeper (Fully Remote - QuickBooks Online Experienced) Location: Fort Worth, Texas (Fully Remote - US Only) Hours: 40 hours/week. Pay: $20-29/hour depending on experience, plus...