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Accounts Receivable Specialist (Billing)

Company: YSS
Location: Ames
Posted on: January 3, 2022

Job Description:

Under the supervision of the Billing Manager, the Accounts Receivable Specialist is responsible for a variety of duties which includes routine payment posting, problem solving for various payers, and also special projects in billing and collections. In addition, the AR Specialist may be responsible for billing and posting for Special Contracts and for obtaining and/or entry of prior authorizations. The Specialist is responsible for clear, detailed communication with the clinical and billing staff as well with payers and clients regarding various insurance-related and payment-related issues. Responsibilities will include researching and resolving client insurance claims which are denied or uncollected and also working with the clinical staff to resolve billing problems.
FOUR MAJOR ROLESBillingPayment PostingDenial managementCollections
SUPERVISORY RESPONSIBILITIESNot currently.REQUIRED EDUCATION, KNOWLEDGE, EXPERIENCE/SKILL

  • Associates Degree in related field or 2-3 years related experience.
  • Previous experience in medical coding, billing, posting and adjudication of claims is required.
  • Experience creating and editing Excel spreadsheets is essential
  • Effective time management and organizational skills, proven ability to prioritize while simultaneously managing numerous projects and processes, often under tight deadlines
  • Strong analytical and problem-solving skills including the ability to research, diagnose and communicate complex issue
  • Ability to convey information effectively through speech and writing skills.
  • Ability to coordinate and collaborate effectively with others.
    PREFERRED EDUCATION, KNOWLEDGE, EXPERIENCE/SKILL
    • Certification in medical coding/billing is preferred.
    • Experience in behavioral health billing is preferred.ESSENTIAL FUNCTIONS/TASKS/EFFORT
      • Verify accuracy of billing data and revise errors.
        • Operate software system for billing, posting, and claims research.
          • Obtain and/or enter such documents as authorizations, and other such ancillary documents as may be necessary.
            • Maintain detailed records as required.
              • Resolve discrepancies in accounting records.
                • Interact with staff, clients, payer and agencies to answer questions, obtain information, and resolve issues.
                  • Monitor aging reports and take such steps as necessary to guarantee payment of claims.
                    • Coordinate and collect necessary information from staff or payers for claim adjudication.
                      • Participate in take-back, overpayment, and refund process.
                        • Recognize problem accounts and notify appropriate staff or Billing Manager to assist in problem resolution.
                          • Anticipate insurance trends and advise Billing Manager of changes.
                            • Participate in auditing processes as needed.
                              • Attend and participate in billing meetings as needed.
                                • Maintain open, positive, cordial, team-oriented lines of communication with Manager and other staff members.
                                  • Contribute to the Billing Department team though positive attitude, respectful interaction, innovative ideas, efficiency, and ethical behavior.
                                    • Other duties as assigned by Billing Manager.TOOLS AND TECHNOLOGYComputer (desktop/laptop)Multi-line telephone systemCopy machine/scannerVideo conferencing equipmentMicrosoft Office softwareWeb Browser softwareDatabase software
                                      POSITION TYPEThis is a full-time, non-exempt position.
                                      TRAVELNo travel is expected for this position. A valid Iowa driver's license is required.
                                      WORK ENVIRONMENTThe noise level is usually minimal to moderate. Works in well-lighted, climate-controlled environment.
                                      PHYSICAL DEMANDSReasonable accommodations may be made to enable individuals with disabilities to perform the physical demands.
                                      While performing duties of the job, the employee is regularly required to stand; walk; may need to sit for extended periods of time; use stairs, as needed; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; talk and hear. Physically move to access all YSS locations. Employee must regularly lift and/or move up to 15 pounds, repeatedly. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception and the ability to adjust focus. While performing the duties of this job, the employee may be exposed to weather conditions prevalent at the time.
                                      VOLUNTEERISMThis position will engage and assist all YSS volunteers (individuals and groups) adhering to volunteer management best practices to ensure meaningful volunteer experiences. This position will maximize the skills and interests of all YSS volunteers to better impact our organization and the youth and families we serve.
                                      OTHER DUTIESPlease note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
                                      YSS EMPLOYEE COMMITMENTCommitment to agency core values and mission.Understand and adhere to accreditation standards, agency policy, and licensing requirements.Responds in a timely manner to internal and external stakeholdersUnderstands a culture of Trauma Informed Care, and models positive interactions at all times.

Keywords: YSS, Ames , Accounts Receivable Specialist (Billing), Accounting, Auditing , Ames, Iowa

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