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Accounts Receivable Specialist

Description
SUMMARY: The Specialist, A/R is responsible for a full range of activities to ensure the operational effectiveness and excellence of the department. This role provides support for the entire department in the form of training, process improvement, functional system support and reporting.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Training
Support the development of ongoing system training for the department
Develop and maintain onboarding and orientation training materials
Facilitate both system (Vision, Emdeon, etc.) and business process training in both a formal classroom setting as well as individual training as needed
Stay knowledgeable on company policies and procedures and train staff to complete in compliance with company standards
Process Excellence
Work with leadership team to develop, document and rollout best practice business processes
Work with teams to identify opportunities for improvement and rollout these changes
Operate effectively within the organizational structure; demonstrate eagerness to learn and assume responsibility
Perform audits as assigned to validate compliance to processes, policies and procedures
Perform tasks on projects as assigned to support ongoing company process improvements or changes
Functional System Support and Maintenance
Support A/R team in the overall usage of systems
Partner with IT team to identify system enhancements that may benefit AR and develop plans to rollout changes as approved
Provide system upgrade testing in partnership with the IT department
Maintain inventory of government (i.e. Medicaid) rates and update rates in systems
Provide third-party payer contract support and management
Execute assigned Month End Close functions (including G/L file generation) and statement billing procedures
Ensure resident statements for all communities are properly formatted and issues are referred to the statement fulfillment vendor on the 4th business day of each month
Coordinate Ancillary file uploads to Vision and works with communities to resolve batch errors
eLink site sponsor - Responsible for maintaining Erickson Living integrity among the Accounts Receivable department by way of the Intranet. Provides the team with current information, important dates, and documents.
Extracts information from various business systems (Vision, billing clearinghouse, EMS billing software, A/R Help Desk, DRT, etc.)
Analysis of payer edits, errors and warning and work with other business lines to implement changes that will eliminate future errors and ensure compliance standards are met
Undertake other duties as required and as the role develops.
Reporting
Prepares Month End routine reports (financial, quality, production, customer service, operational efficiency, etc.).
Develop, produce and circulate weekly and monthly KPI's and statistics
Consolidated Billing - Provides excellent customer service; resolves both internal and external customer issues within an appropriate time frame; shows persistence and seeks alternatives when obstacles arise.
Develop reports to increase the operational efficiently of the department
Analyze report details and share with leadership key areas of focus for the department
Preparing routine reports (financial, quality, production, customer service, operational efficiency, etc.).
Undertake other duties as required and as the role develops.
Qualifications
QUALIFICATIONS:
Knowledge of Federal, State and third party electronic claims submission, denials and reimbursement practices
Knowledge of Vision or other medical practice management systems
Must have effective organizational skills and a high attention to detail and proficient knowledge of Microsoft Office including Excel
Strong ability to analyze and document complex business processes.
Ability to think analytically and be a problem solver.
Strong interpersonal and team building skills
EDUCATION and/or EXPERIENCE:
Minimum 2 years of healthcare accounts receivable reporting and analysis for hospital, long-term care, large physician practice, experience in billing, collections or related experience required.
Graduation from an accredited four-year college or university with major coursework in Accounting, Finance, Healthcare Administration, or Business Administration is strongly preferred or experience in a closely related field may be substituted.
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