Account receivable specialist

Monitor system reports to ensure maximum, appropriate reimbursement from clients and third party payers. Respond to inquiries / requests from counties, clients and third party payers.

Prepare accurate, complete third party claims and process electronically or by using paper claim forms. Refer aging accounts as appropriate to an outside collection agency.

Process account adjustments as required contractually or due to fee assistance allowances. Duties are performed on site during normal business hours.

Qualifications :

• Education : High school diploma required, preferably an Associate degree business or healthcare related field.
• Certificate or Professional License : No certificates or professional license required.
• Experience : Two (2) years of office and financial experience preferred. Strong knowledge of Microsoft Office products, Experience with electronic medical records (EMR) required, Medical billing and Indiana Medicaid experience preferred.
• Valid driver's license and active liability insurance.
• Satisfactory results from criminal background check.

Primary Duties and Responsibilities :

The following tasks are the primary duties and responsibilities of an employee in this position. Any single position may not perform all of these tasks and / or may perform related tasks not listed here :

• Prepare accurate, complete third party claims, as assigned, in accordance with internal procedures and schedules as well as external requirements and regulations.
• Process rejected claims as received, make appropriate corrections, create retro bills or transfer rejected amount to the next funding source.
• Create Medicaid secondary claims weekly.
• Respond to telephone and mail inquiries from clients, county staff or funding sources with 2 working days.
• Monitor self-pay aging reports monthly. Accounts more than 60 days old with no payment; payment arrangement or other account activity are referred to Helvey & Assoc. for collection.
• Process bankruptcy notifications as received; notify Helvey & Assoc.; adjust account.
• Process refunds to clients or insurance companies as overpayments are identified.
• Other duties as assigned

As a State-Of-the-Art Healthcare Organization and a Federal Contractor Agency - we require all individuals who join Team Bowen to receive a flu shot to further protect our staff and the patients we serve.

There are options for exemption applications, but approval is not always guaranteed.

As an agency that works with a vulnerable demographic of individuals, we require extensive pre-employment background checks that aide in fulfilling our mission to protect our patients, keeping them safe from abuse and harm, by hiring quality and trustworthy staff.

Last updated : 2024-03-05