Specialist II, AR Management

Description

The Specialist II, AR Management role assists with workflow processes to ensure that daily, weekly and monthly tasks are accomplished effectively.

The incumbent will assist with the billing and collections process for the completion of complex assignments and monitors the quality and quantity of AR performance measures.

• Assist with coordinating and guiding staff to ensure client and company expectations are being met, assist with the onboarding and training process, provide on-going feedback on employee performance and assist with employee retention.
• Provide client-specific workflow process and system training to team members.
• Monitor work quality pertaining to client protocols, against audit tools and client and internal logs.
• Ensure completion of all internal logs, customer service logs and payment posting issues.
• Provide management with on-going client specific feedback to help prepare for monthly Account Management meetings.
• Assist management with the preparation of the issues trending log and other performance monitoring tools.
• Perform functions for assigned account(s).
• Serve as a front line back up to ensure work processes continue to flow when assigned staff are out of the office.
• Run standard and some ad hoc reports, creating action plans, and writing SOPs.
• Responsible for completion of client specific projects.
• Perform other duties that support the overall objective of the position.

Education Required :

• Bachelor's Degree in Finance, Accounting, or Healthcare related discipline.
• Or, any combination of education and experience which would provide the required qualifications for the position.

Experience Required :

• 2+ years of experience in billing and / or collections for a multi-specialty physician group. for physician billing.
• 2+ years of experience in medical billing and / or collections in a healthcare or insurance environment.
• Experience in Infusion therapy billing.
• Experience with ICD 9 / 10 and CPT coding.
• Experience in complex appeal writing.
• Or, any combination of education and experience which would provide the required equivalent qualifications for the position.

Knowledge, Skills & Abilities :

Knowledge of : Knowledge of healthcare carriers and payer requirements. Knowledge of Microsoft Office Suite (Word, Excel, Outlook and PowerPoint) with intermediate skill level.

Knowledge of Windows based programs. Knowledge and understanding of practice management software.

The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is intended to provide guidelines for job expectations and the employee's ability to perform the position described.

It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

This document does not represent a contract of employment, and the company reserves the right to change this job description and / or assign tasks for the employee to perform, as the company may deem appropriate.

NextGen Healthcare is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.