Satellite Healthcare Accounts Receivable Specialist in Mesa, Arizona

Requisition Number 18-0130

Post Date 4/2/2018

Title Accounts Receivable Specialist

Location AZ - Accounts Receivable

Job Status Full Time

Work Hours 40

City Mesa

State AZ

Description

We're Satellite Healthcare, one of the country's most innovative providers of patient-centered dialysis and kidney disease services. Known for our collegial and supportive corporate culture, our medical and clinical staff are highly motivated and committed

to promoting patient wellness and improved quality of life. At our attractive and comfortable treatment centers, our patients receive unparalleled renal disease education and treatment, medical technology, nutrition programs and social services.

The Accounts Receivable Specialist ensures that all phases of the accounts receivable process are performed and completed accurately and within the time constraints of the monthly accounting closing schedule. Responsibilities include: assurance of accurate

charge capture using Clinical and Billing System reporting, timely submission of claims, diligent claims follow-up and collections activity, identification and reporting of reimbursement trends, assisting management in claims projects, and working closely

with center staff.

Essential Functions:

The essential functions listed are not a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. All employees must work in accordance with Satellite’s I-CARE Standards.

  • Reviews dialysis charges in the Clinical EMR weekly to identify missing or erroneous data; communicates with the dialysis units in advance of monthly billing cycle

  • Completes billing activity for assigned facilities within the first three business days of the month; includes balancing charges between the clinical and billing systems and assures all necessary data points are in place to submit clean claims

  • Prepares and completes all primary billings for Medicare, Medicaid and private insurance (based on assigned payer groups) by the 5th working day of each month; submits claims electronically wherever possible; prepares paper claims for all other payers

  • Reviews incoming mail daily; responds to correspondence from Medicare, Medicaid, private insurance and patients regarding accounts receivable promptly to resolve denials and rejections

  • Reviews aging and Unpaid Claims reports regularly and performs aggressive collection activity; notifies A/R Manager and Director of any collection trends

  • Prepares well-documented inquiries and/or appeals for reconsideration of outstanding claims; confers with A/R Manager when necessary

  • Prepares and submits requests and documents required for any uncollectible accounts adjustment; presents to A/R Manager for bad debt write-off approval

  • Maintains records of Share of Cost (SOC) reports if applicable

  • Responds to overpayment notices and requests for refund appropriately; disputes or preparescheck request and submits for approval and routing to Accounts Payable

  • Assists leadership team in preparation of any collection projects and in establishing congenial relationships with payers

  • Strives to maintain the DSO (Days Sales Outstanding) and Cash Collections goals as set by management

  • Insures the confidentiality of patient and employee information in compliance with HIPAA guidelines

  • Responsible for driving the Satellite Healthcare culture through values and customer service standards

  • Accountable for outstanding customer service to all external and internal customers

  • Develops and maintains effective relationships through effective and timely communication

  • Takes initiative and action to respond, resolve and follow up regarding customer service issues with all customers in a timely manner

Requirements

Minimum Qualifications:

Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying.

Education: High School diploma; some college courses preferred

Experience: Two (2) years of experience in a medical billing environment

Knowledge, Skills & Abilities:

  • Ability to contribute to harmonious and constructive working relationships with all staff members to promote a positive and productive atmosphere

  • Basic accounting and hands-on knowledge of accounts receivable computer systems in health services preferred

  • Ability to understand and apply Medicare and Medicaid ESRD rules and regulations

  • Understanding of private insurance industry: PPO, HMO, POS, Medicare Advantage and Indemnity Plans

  • Ability to organize workflow and manage a large volume of incoming documents accurately with a minimum of supervision, as well as possess ability to work cooperatively with others

  • Accurate keyboard and ten-key skills

  • Proficient in Microsoft Office

  • Pleasant and effective phone and interpersonal skills

  • Detail oriented

Satellite Healthcare, Inc. (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or identity, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability. Women and men, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. We offer a drug-free work environment.