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Accounts Receivable (AR) Specialist

Company: Compass Health
Location: Everett
Posted on: May 13, 2022

Job Description:

Accounts Receivable SpecialistEverett, WA
Compass Health is currently looking for an Accounts Receivable (AR) Specialist!
What you will be performingThe Accounts Receivable (AR) Specialist is a key member of the Compass AR and Finance team. This role provides analysis of AR balances, performs contract reimbursement analysis and client refunds, handles denied claim investigations, provides resolution for third party accounts, and maintains billing tables. This role also requires understanding of provider Revenue Cycle, expertise in mental health billing and knowledge of insurance / benefit information, and expertise to be able to provide billing / Revenue Cycle assistance to Compass Health providers and staff.

  • Prepare and submit claims for third party payers in the form of electronic 837I and 837P data sets.
  • Research outstanding / pending / aged claims in claim clearinghouses, electronic medical record (EMR) / denial management system to resolve claim issues and secure payer reimbursement.
  • Post payments and applies contractual adjustments to client accounts manually and electronically (835 remits).
  • Perform complex account reconciliation to achieve $0 balance resolution (service changes, 835 remit responses, posted payments, etc.)
  • Utilize electronic eligibility / insurance verification / benefit validation tools to confirm accurate client insurance coverage information and documents this information in Compass practice management (PM) / EMR system.
  • Prepare and review self pay balances for client statement billing, resolve past due client accounts and send accounts to collection (when applicable).
  • Prepare and submit claims, explanations of payment (EOP) and cost reimbursement-based invoices for contract providers and contract / grant payers.
  • Set up and maintain client financial information (coverage plans, sliding fee, payment plans, etc.) in PM / EMR.
  • Assist AR Manager and AR Director with special projects related to aged claim research, system data table maintenance, month end financial close processes.
    What you will be carrying along
    • High School Diploma or equivalent required, AA or BA Degree in Accounting or a related field preferred.
    • Any combination of accounting education and relevant provider billing / accounts receivable / revenue cycle experience totaling 5 years that provides a solid knowledge base.
    • Experience utilizing a electronic medical billing system (within EMR), accounting software and other revenue cycle-related applications.
    • Understanding of managed care organizations (MCOs), Medicaid, Medicare and commercial payers, and experience working with payers to resolve claim issues.
    • Experience working with EMR / revenue cycle application vendors is preferred.
    • Experience working in a social service environment preferred.
      What you will be sharing
      • Ability to understand, work with, and implement basic accounting principles.
      • Understanding of the provider revenue cycle and how this relates to other departments and roles within Compass Health.
      • Excellent customer service skills and the ability to professionally and effectively collaborate with all levels of the organization.
      • Highly self-motivated and directed with the ability to also work cooperatively with others as a productive team member.
      • Ability to work calmly, effectively, and prioritize assignments in a fast-paced, high production, and high-pressure environment.
        What we will be offeringAs the region's largest non-profit community behavioral healthcare organization, we have been serving our clients and our communities for over 110 years. Our commitment to care doesn't stop with our clients though, as we take pride in offering our employees the opportunity to work in a culture that promotes learning, growth, and advancement as well as a focus on employee satisfaction and work/life balance.(benefits pro-rated for part-time employees)
        • Medical, dental, and vision insurance at NO COST to full-time employees
        • 16 days of vacation the first year
        • 12 sick days including an additional wellness day
        • 13 paid holidays - 11 traditional holidays, plus 2 you choose
        • $300 in professional funds per year
        • Up to 5 days paid education leave
        • 403(b) retirement plan with up to 2% company match after the first year
        • And much, much more!!!
          The organization you will be joiningCompass Health is the region's largest private, non-profit organization providing mental health and chemical dependency services in Island, San Juan, Skagit, Snohomish, and Whatcom counties of Western Washington. We provide quality creative services to children, families, and adults in a variety of outpatient, residential, and inpatient settings. We have been serving our clients and our communities for over 110 years, though our commitment to care doesn't stop with our clients as we take pride in offering our employees the opportunity to work in a culture that promotes learning, growth, and advancement. We maintain a focus on employee satisfaction and work/life balance, which includes competitive compensation and benefits programs. Please visit our website for more information: www.compasshealth.org.Compass Health promotes equal treatment and equal employment opportunity to all applicants and employees regardless of race, creed, color, national origin, sex, religion, age, marital status, sexual minority status, sexual orientation, veteran status, or disability unless based on a bona fide occupational qualificationGovernor Inslee's Proclamation 21-14.2 requires employees of healthcare institutions to be fully vaccinated against COVID-19 unless a medical or religious exemption is approved. Being fully vaccinated means that an individual is at least two weeks past their final dose of an authorized COVID-19 vaccine regimen. As a condition of employment, newly hired employees will be required to provide proof of their COVID-19 vaccination or have an approved medical or religious exemption.
          POSITION SUMMARYJob Title: AR Specialist
          Program: 103-52550
          Location: Everett
          Hours: Full-time (40 hours/week)
          Wage: $22.87-$30.14/hr DOE

Keywords: Compass Health, Everett , Accounts Receivable (AR) Specialist, Other , Everett, Washington

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