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, Maryland, Delaware, and California (greater Los Angeles & Orange County, San Francisco 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 a dynamic, professional, and hardworking Accounts Receivable Specialist to join our growing team. They will be responsible for collection of all insurance and private pay payments from start of service to discharge/termination.

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 resubmit denied claims by calling insurance companies to have claims reprocessed.
  • Review, reconcile and follow up on claims which are incorrectly paid.
  • Contacts insurance companies with major issues to ensure 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.
  • Report on trends and analyze data for the billing and accounts receivable on a weekly basis.
  • Communicate effectively via phone & in person with carriers, patients, staff and management.
  • Documents notes in patient's accounts.
  • Collect patient balances.

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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