Accounts Receivable Specialist at Community Care Physicians
Town of Colonie, New York, United States -
Full Time


Start Date

Immediate

Expiry Date

28 May, 26

Salary

30.51

Posted On

27 Feb, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Accounts Receivable, Interventional Radiology AR, Charge Entry, ICD10 Coding, CPT Coding, Denial Management, A/R Follow-up, Payer Communication, Billing, Global Period Rules, Insurance Verification, Claims Submission, Payment Posting, Patient Inquiries, HIPAA Compliance, Report Analysis

Industry

Medical Practices

Description
Our Central Billing Office in Latham is looking for a full time Accounts Receivable Specialist to join their team! This person will be responsible for accounts receivable for Interventional Radiology AR and Interventional Radiology Physician Hospital Coding and Charge Entry.  This is a hybrid position; Monday - Friday 8am-4:30pm. Staff work most of their time at home and are required to come into the office during the initial training period. Once fully trained, they are required to come into the office at a minimum one day a week. Essential Functions include, but are not limited to:  * Ensure the timely and accurate management of all A/R-related activities for assigned groups.   * Manage all aspects of A/R in the Allscripts Practice Management application, including ICD10 and CPT coding, denial management, A/R follow-up, and payer communication.  * Communicate and collaborate with various medical facilities as well as internal resources.  * Accurately and efficiently bill responsible parties for services rendered by CCP.  * Validate global period rules. * Verify patient insurance coverage and eligibility before services are rendered.  * Assign accurate diagnosis and procedure codes (ICD-10, CPT, HCPCS) based on physician documentation.  * Prepare and submit electronic or paper claims to insurance companies for reimbursement.  * Follow up on unpaid or denied claims, identifyreasons for denials, and take necessary actions for resolution. * Post payments and adjustments received from insurance companies and patients into the billing system.  * Generate patient statements for outstanding balances and answer patient inquiries regarding their bills.  * Monitor and manage accounts receivable and aging and identify and resolve overdue accounts.  * Ensure compliance with healthcare regulations (e.g., HIPAA, Medicare, Medicaid) and billing guidelines.  * Generate and analyze billing reports to track key performance indicators (KPIs) such as claim submission and reimbursement rates.  * Communicate with patients, healthcare providers, and insurance companies to resolve billing issues and ensure accurate billing and reimbursement.  * Support peer-to-peer reviews and appeal efforts when required. If you are interested in this opportunity and have the desired qualifications, please apply now! Hourly salary range: $20.34 - $30.51 CCP salary ranges are designed to be competitive with room for professional and financial growth. Individual compensation is based on several factors unique to each candidate, such as work experience, qualifications, and skills. Some roles may also be eligible for overtime pay. CCP’s compensation packages go far beyond just salary. The company offers a comprehensive total rewards package that includes medical, dental, vision and life insurances, paid holidays, paid time off, retirement plan, and much more in a business casual environment! We welcome candidates who will bring diverse intellectual, gender and ethnic perspectives to Community Care Physicians. Community Care Physicians is an Equal Opportunity Employer. Qualifications * A high school diploma or equivalent is required, associates degree preferred.    * Minimum of 2-4 years of related medical billing and insurance claim follow-up experience.  * A certified Professional Coder designation is highly preferred, but not required.  * Previous experience in Allscripts Practice Management/EHR preferred.  * Demonstrated experience in both internal and external customer service.  * Experience in working accounts receivables related to specialty (preferably Interventional Radiology) and CPC or CPC-A.   
Responsibilities
The specialist will ensure timely and accurate management of all Accounts Receivable activities for assigned groups, managing all aspects within the Allscripts Practice Management application, including coding, denial management, and follow-up. Key duties involve accurately billing responsible parties, validating global period rules, verifying insurance, assigning appropriate codes, submitting claims, and resolving unpaid or denied claims.
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