Accounts Receivable Specialist - Melville, NY

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Wage: TBD
Department: Administrative
Position Type: Full Time
Location: Melville, New York


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, Minnesota, Maryland, Delaware, and California (greater Los Angeles & Orange County, and San Diego). 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 via telehealth, in clinic and in homes and the community.

We are looking for an Accounts Receivable Specialist to join our growing team. Responsible for collection of all commercial insurance, out of state Medicaid and patient/private pay payments from start of service to discharge/termination. Insurance denial/underpayment follow up by phone or portal and making corrections to and resubmission of claims. Responsible for entering co-pays, co-insurances and deductibles and forwarding to patients via mail or email and follow up by phone.

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:

  • Review and follow-up on denied claims/underpaid claims
  • Contact insurance companies to ensure accuracy of billing and to request reprocessing
  • Submit corrected claims electronically or by paper, to claims which have been denied
  • Prepare insurance letters of appeals as necessary, attaching medical documentation, referrals, prior authorizations, etc
  • Documentation of all action in patients’ accounts
  • Generate and ensure accuracy of patient billing and processing of patient payments
  • Able to communicate effectively via phone & in person with insurance carriers, patients, staff and management
  • Identify refunds, provides supporting documentation, completes refund forms and submits to supervisor
  • Able to communicate effectively via phone & in person with carriers, patients, staff and management
  • Other duties as assigned by manager

Requirements:

  • Three 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 Include:

  • Personal and Sick Time
  • Medical/dental/vision coverage
  • Paid Holidays
  • 401k with matching
  • Short-term, long-term disability, life insurance
  • Employee Recognition Events-and so much more!

*Please note that this role's location is a full-time in office position.

Compensation is TBD based on experience.

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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.

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