Accounts Receivable Collections Specialist

Works closely with the Revenue Cycle Manager (RCM) as well as with the Billing Analyst and Medical Payment Entry Specialist to ensure prompt payment of all medical services provided at BVCHC.

EDUCATION, EXPERIENCE, & SKILLS

High School Diploma or equivalency is required, healthcare finance certificate or Associates Degree preferred

Minimum 2 years of experience with medical accounts receivable, third-party medical billing, or healthcare finance required

Experience with FQHC's and Alternate Payment Methods preferred

Ability to gain proficiency in the BVCHC's Practice Management Software

General knowledge of all third party insurance carriers required

Extensive knowledge of insurance carriers required - to include, but not limited to, timely filing limits, coordination of benefits, deductibles, PCP, HMO, PPO, Federal and State Insurances, capitation, referrals, specialty services, in network co-pays, out of network co-pays, authorizations, dual coverage, coverage dates, covered services, non-covered services, coverage limitations and maximums

Working knowledge of 837 billing and 835 payer processes required

OTHER REQUIREMENTS

Reliable transportation required

Bilingual ability in English and Spanish, Portuguese or Creole speaking abilities preferred

Cultural sensitivity necessary to work with a diverse patient and staff population required

Ability to work independently and collaboratively required

Knowledge of computers and electronic medical records required

Knowledge of Microsoft Suite preferred

Strong communication skills, both verbal and written required

Proficiency with Excel spreadsheets required

Strong multi-tasking skills and consistent attention to detail required

Ability to exercise and maintain confidentiality, courtesy and patience in responding to inquiries is required