Accounts Receivable Specialist

  • Achieve Beyond
  • Melville, NY, USA
  • Nov 11, 2021
Full time Health Care

Job Description

Job Summary: 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 the 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.

Essential Duties and 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

Education and/or Work Experience 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
  • Experience with medical insurance 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: 

  • Medical/Dental/Vision Coverage
  • Personal and Sick Time
  • Paid Holidays
  • 401k with matching
  • Long term/Short term disability
  • Generous sign on bonus
  • Employee Recognition Events
  • and so much more!

Our Company: 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.

Our Mission: 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.