Job Description
Job Description
Responsible for the aggressive and tenacious pursuit of complete, accurate healthcare account receivables and collections. Experience with medical / pediatric billing, AR Follow-up to include denial management, insurance follow-up, self-pay process & bad debt. It is critical that this individual develop and maintain good relationships with practice employees, managers, providers, vendors, and payers.
Compensation : 20 - $24 hourly
Responsibilities :
- Manage accounts receivable to ensure timely collections are facilitated
- Monitor accounts proactively to seek reimbursements from third-party and government payers
- Collaborate with the RCM team to strategize and implement solutions for reducing AR Aging effectively
- Prepare and analyze accounts receivable reports, along with weekly and monthly financial reports
- Adhere to best practice requirements and maintain positive relationships with RCM team members
- Implement processes and action plans directed by the Practice Administrator
- Review adjustments monthly in the EHR system
- Assist in payment posting and reconcile payments across various systems to ensure accuracy
- Utilize practice management and business intelligence software to identify payment trends, and A / R risks, and minimize denials and write-offs
- Develop and manage relationships with cross-functional teams within the organization to drive growth strategies
- Ensure compliance with insurance reimbursement and payer regulations
- Collaborate with the billing team to ensure accurate and timely collections
- Perform additional office duties as assigned
- Oversee the collection agency process
- Provide excellent patient financial counseling and address billing inquiries
Qualifications :
A High School Diploma is required for this positionThe ideal candidate should have 3-5 years of experience in Medical Account Receivables3-5 years of EHR experience, with a preference for Epic proficiencyA minimum of 3-5 years of experience in claims management, including claim submissions, rejections, edits, statuses, and monitoring clearinghouse activityA strong understanding of payer reimbursement, performance, and updates is necessaryPrevious experience in payment posting is preferredEffective skills such as critical thinking, decision-making, relationship-building, and problem-solving are essentialDeep understanding of third-party and government payers, particularly Medicare and MedicaidExcellent written, oral, and reading communication skills are a mustProficiency in Microsoft Office Suite is required for this roleAbout Company
Maeville Pediatrics is a place where children can feel at home while receiving top-quality health care in a comforting setting. We are a private practice currently with two locations (Pearland and the medical center). Hours are Monday through Friday 8-5 and rotating Saturdays from 8-12.