Accounts Receivable Coordinator

Company: Caravel Autism Health
Location: Green Bay
Posted on: February 12, 2025

Job Description:

The Accounts Receivable Coordinator position is responsible for overall AR management, coding, coding documentation and as well as any other business office projects assigned.

Essential Functions :

• Follows and reports on status of delinquent accounts; has plan for collection and aggressively pursues. Documents work performed and action taken.
• Researches and resolves client billing issues. Monitors reimbursement rates from insurance companies.
• Reviews daily/weekly/monthly aged receivables report for accounts that require follow-up.
• Follows all insurance regulations.
• Prepares and timely files appeals for denied or underpaid claims.
• Maintains strictest confidentiality; adheres to all HIPAA guidelines and regulations.
• Excellent oral, written and interpersonal communications skills
• Audits patient accounts in practice management system and update as necessary, process refunds as needed.
• Perform documentation and coding audits to ensure compliance with Medicaid and other insurance guidelines.
• Maintains and sustains completion of tasks that are assigned to ensure corrections that are required are completed to resolve the account.
  
  Non-Essential Functions/Other Duties :
  
• Performs any other tasks assigned by management
  Supervisory Responsibility : Not applicable.
  
  Travel Required : Minimal.
  
  Physical Demands :
  
  This is largely a sedentary role, with frequent sitting and computer keyboarding (10-key) required. Some lifting (up to 35 pounds), stooping and bending are required.
  
  Qualifications :
  
  Education:
  

• High school diploma or equivalent.
• Prefer coursework and/or experience in medical and/or health insurance billing, medical records management.
  
  Experience:
  
  • At least two years of previous medical insurance, billing, or claims processing related experience.
  • Comprehensive understanding of accounts receivable in a healthcare setting
  • Strong understanding and experience in billing processes and appeals.
  • Working knowledge of managed care plans, insurance carriers, referrals and pre-certification procedures
  • Strong knowledge of ICD-10, CPT, HCPCS, modifiers and coding documentation guidelines. CPT and ICD-10 certification a plus.
    
    Skills and Competencies:
    
    • Strong keyboarding and computer skills to include MS Office (Word and Excel) experience at an intermediate level. 10-key data entry proficiency.
    • Knowledge of medical coding and third-party operating procedures and practices as well as knowledge of financial concepts.
    • Experience working with basic office machinery and equipment, including computers, copiers, fax machines, multi-line phone systems, etc.
    • Knowledge of HIPPA privacy and security rules and regulations.
    • Excellent interpersonal skills, with the ability to communicate effectively with others.
    • Strong organizational skills, with the ability to multi-task and meet deadlines.
    • Demonstrates initiative, with the ability to manage self and workload.
    • Strong analytical and problem-solving abilities. Good mathematical aptitude.
    • Exemplary customer service focus, for both internal and external clients.
    • Able to work both independently and be self-directed, as well as being able to perform in a team atmosphere.
    • Displays professionalism and represents organization in a professional manner.
    • Ability to abide by ethical guidelines and policies, including strict adherence to confidentiality and HIPPA guidelines.
      
      Other:
      
      • Must be 18 years old or older.

Keywords: Caravel Autism Health, Green Bay , Accounts Receivable Coordinator, Other , Green Bay, Wisconsin