Lead AR Specialist

Overview

Symbria Rx Services is seeking a Remote Lead Accounts Receivable (“A/R”) Specialist to add to our growing team.

The Lead Accounts Receivable (“A/R”) Specialist is responsible for oversight, collection, and cash application of pharmacy accounts receivable, reduction of accounts receivable delinquency, and ensuring exemplary customer service. This position will serve as a lead for the Accounts ReceivableSpecialists, as well as be responsible for performing collections duties.

Check out our video about Symbria and how you can make a difference as an employee owner!

Responsibilities

• Work with the Pharmacy Billing and Collections Manager to determine metrics for performance of the collections function and monitor performance.

• Ensure all policies and procedures are documented and followed by the assigned billing team.
• Coach, mentor, motivate, and delegate to staff while holding them accountable to achieve established metrics.

• Provide additional training to specialists who are not meeting expectations.
• Ensure department goals are communicated and understood by the collections team.
• Responsible for adhering to annual review process and procedures as established by the Human Resources Department.

• Answer private pay customer questions and take appropriate action, and, when required, partner with Billing Analyst, to ensure customers' communication and concerns are resolved in a timely manner.

• Answer inbound customer inquiry calls and ensure messages are returned timely.
• Ensure all clients/customers with outstanding accounts and accounts with payment arrangements are contacted on a scheduled basis.

• Achieve monthly assigned outbound collections calls, executed in a professional and courteous manner, with a focus on continuous improvement in customer relations.

• Create software and apply daily to invoices accordingly and ensure that accounting software reports reconcile to bank reports.

• Ensure accuracy of:
  • Lockbox postings;
  • Cash balancing;
  • Wire postings;
  • Automated Clearing House (“ACH”) debits/credit card payments monthly;
  • Unapplied cash reports/credit reports;
  • Live daily posting/one-time credit card payments; and
  • Write off adjustments.

• Reconcile Third Party payments with accounting records and bank records.
• Review third party aging and take appropriate action on open claims.
• Manage/Upload 835 files and research/resolve unmatched exceptions and partner with data entry and billing, when necessary.

• Collaborate with accounting to reconcile third party accounts receivable with accounting records, summarize and follow up on reconciling items - escalating unusual issues to Management on a timely basis.

• Adhere to Symbria policy and procedures regarding past due accounts.
• Collaborate with collection agency regularly on older accounts continually monitoring customer balances and payments.

• Ensure claims for Medicaid Pending Group/Medicaid Group are rebilled following approval including, if necessary, Best Available Evidence (“BAE”) submission.

• Assist billers with follow up, as requested, regarding electronic medical record documentation.
• Schedule regular meetings with Management to discuss write-offs, refunds, general review of accounts receivable, and attributes contributing to account delinquency.

• Validate refunds and ensure payment to families/others are processed timely.
• Reconcile invoices to accounting billing software to ensure all customers receiving statements are included in the monthly print file and once completed, partner with billing lease to approve invoices to release the file for mailing.

• Assist with mail processing, as requested.
• Assist in registration with new insurance companies, as requested.
• Any and all other duties as assigned.

Qualifications

• High school diploma or equivalent.
• Associate degree; accounting, finance, or other related field preferred.
• Experience with long-term care, pharmacy billing, and/or healthcare collections experience, minimum three (3) years.
• Experience in accounts receivable, billing, or related collections role, minimum two (2) years.
• Recognized leadership skills/experience; minimum two (2) years.
• Knowledge of billing software, electronic billing, and electronic medical record.
• Knowledge of Medicare, Medicaid, and third-party billing requirements.
• Excellent customer service, interpersonal, verbal, and written communication skills.
• Detail-oriented with effective time management skills.
• Critical thinking and problem-solving skills.
• Ability to train, mentor, coach, and delegate while holding staff accountable.
• Effective communication skills and ability to deal with difficult situations in a professional and courteous manner.
• Familiarity with systems such as Sage, QuickBooks, or similar.

Software skills:

• Experience with billing and accounting software for managing accounts, processing payments, and reconciling reports;
• Advanced knowledge for use of Microsoft Word & Outlook; and
• Proficient Excel Knowledge: Copy & Paste Files, Editing files, formatting, basic formulas (e.g.,“IF” “Sum”), Pivot Tables.

DIRECT REPORTS

• A/R Specialist(s)

Why work for us?

At Symbria our employees act like owners – because we are owners!  As one of the few 100% employee-owned healthcare providers, our focus remains on delivering best-in-class services within our Pharmacy, Rehabilitation and Well-Being operations, which allows our clients to improve the lives and well-being of their patients and residents.  Our teams utilize insights and analytics to drive better health outcomes for our partnered post-acute and senior living communities while providing them with flexible service options.

Symbria’s Core Values drive the way we partner with those clients, their patients and residents and the way our diverse employee-owners work together:

• Integrity – Honest, Fairness and ethics
• Compassion – Commitment to serving seniors
• Stewardship – Maximizing mission and margin
• Innovation – Striving to enhance our value to your organization
• Teamwork – Working together unselfishly toward goals

As an employee-owner, Symbria’s success becomes your success.  In addition, we provide:

• Competitive pay, aligned with market guidelines
• Full Benefits Package, including very generous paid time off plans
• Professional liability coverage
• 100% employer-funded ESOP retirement plan
• 401(k) and Roth(k) plans
• Continuing education
• Credit union membership

Symbria does not discriminate for any reason. We welcome talent who believes in our mission, drives the organization forward and cares about the value they bring to an organization.