Senior Accounts Receivable Specialist - Melville, NY

Wage: TBD
Department: Administrative
Posted: June 04, 2020
Location: Melville, NY
Position Type: Full Time


Achieve Beyond is a national Pediatric Therapy and Autism Services agency. With offices in New York (Metro area/Long Island, Hudson Valley & Albany), New Jersey, Virginia/DC area, Connecticut, Maryland, Southern Florida, Delaware, Tennessee and California (greater Los Angeles & San Francisco). Achieve Beyond provides quality evaluation and therapy services such as special education, autism services, speech, physical, and occupational therapies to children birth through twenty-one years of age. We are currently looking to hire an Senior Accounts Receivable Specialist to join our growing team.

We are seeking a dynamic, multi-talented Accounts Receivable Specialist who establishes and maintains a professional working relationship and has a drive for success within the work environment. This successful candidate is an individual who is able to utilize strong interpersonal skills, multitasking skills, and organizational skills to effectively enhance the department’s performance and contribute to the company’s growth and success.

We believe that all children have potential. We are guided by the mission to support children with special needs to Achieve Beyond their current abilities. We are always striving for continuous improvement by setting goals and measuring performance.

It is the reason we will succeed together

Responsibilities:

Responsible for the collection of all insurance and private pay payments from the start of service to discharge/termination.

  • Collect patient balances
  • Documents notes in patient’s accounts
  • Review and resubmit denied claims by calling insurance companies to have claims reprocessed.
  • Review, reconcile and follow up on claims which are incorrectly paid.
  • Contact insurance companies with major issues to ensure the accuracy of billing for maximum payment.
  • Prepare insurance letters of appeals as necessary, attaching medical documentation, referrals, prior authorizations, etc.
  • Identify refunds, provides supporting documentation, completes refund forms and submits to supervisor
  • Communicate effectively via phone & in person with carriers, patients, staff and management
  • Other duties as assigned by manager

Requirements:

  • Two to five years of experience working in health care billing.
  • Knowledge of Insurance rules, regulations, and compliance guidelines.
  • Ability to interpret CPT/HCPC/ICD-10 books.
  • Medical Insurance Experience Required
  • Experience handling a heavy claim volume
  • Excellent interpersonal skills
  • Ability to multitask and respond quickly to concerns
  • Quick learner
  • Strong knowledge of MS Office, Outlook and Excel
  • Ability to work overtime when needed

Benefits:

  • Paid time off
  • Medical/dental/vision coverage
  • Short-term, long-term disability, life insurance
  • 401k with matching contribution, company events, and more!

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Application

This job description is subject to change at any time.
Achieve Beyond provides equal employment opportunities to all employees and applicants and prohibits discrimination and harassment of any type regarding race, color, religion, age, sex, national origin, disability status, genetics, caregiver status, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. If you are an individual with a disability requesting an accommodation for the application process, please contact us for assistance.