Caravel Autism Health

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Accounts Receivable Coordinator

at Caravel Autism Health

Posted: 6/3/2019
Job Reference #: 7647

Job Description

  • Job LocationsUS-WI-Green Bay
    Hire Type
    Regular Full-Time
    Category
    Billing
    Job ID
    2019-7647
    Company
    Caravel Autism Health
  • Overview

    Caravel Autism Health (CAH) is a leading provider of Applied Behavior Analysis (ABA) services, treating children with autism disorders. Caravel’s team of autism health professionals is dedicated to working with children who have autism, and their families, to develop skills, create connections and instill confidence. CAH has teamed up with Frazier Healthcare Partners to transform the ABA space and provide a strong operational infrastructure and clinical foundation that will allow CAH to significantly expand its geographic footprint.

    Caravel Autism Health is in need of an Accounts Receivable (AR) Coordinator. This position is responsible managing medical insurance claims, with a heavy focus on AR, medical coding and coding documentation.

    Responsibilities

    Essential Functions:

    1. Works with CFO, Accountant and Billing Manager to facilitate accurate accounting records.
    2. Maintains information on billing procedures by client.
    3. Prepares and submits clean claims to Third Party Payers.
    4. Researches and resolves client billing issues. Monitors reimbursement rates from insurance companies.
    5. Communicates status of receivables when requested. Creates financial reports in relation to accounts receivable function and status of accounts.
    6. Follows and reports on status of delinquent accounts; has plan for collection and aggressively pursues. Documents work performed and action taken.
    7. Reviews weekly aged receivables report for accounts that require follow-up.
    8. Follows all insurance regulations.
    9. Posts payments to patient accounts.
    10. Prepares and timely files appeals for denied or underpaid claims.
    11. Maintains strictest confidentiality; adheres to all HIPAA guidelines and regulations.
    12. Demonstrates excellent oral, written and interpersonal communications skills
    13. Audits patient accounts in practice management system and update as necessary, process refunds as needed.
    14. Performs documentation and coding audits to ensure compliance with Medicaid and other insurance guidelines.

    Non-Essential Functions/Other Duties:

    1. Performs other tasks as assigned.

    Supervisory Responsibility: Not applicable.

    Travel Required: Minimal.

    Physical Demands:

    This is largely a sedentary role, with frequent sitting and computer keyboarding (10-key) required. Some lifting (up to 35 pounds), stooping and bending are required.

    Qualifications

    Education:

    • High school diploma or equivalent.
    • Prefer coursework and/or experience in medical and/or health insurance billing, medical records management

    Experience:

    • At least two years of previous medical insurance, billing, or claims processing related experience.
    • Comprehensive understanding of accounts receivable in a healthcare setting
    • Strong understanding and experience in billing processes and appeals.
    • Working knowledge of managed care plans, insurance carriers, referrals and pre-certification procedures
    • Strong knowledge of ICD-10, CPT, HCPCS, modifiers and coding documentation guidelines. CPT and ICD-10 certification a plus.

    Skills and Competencies:

    • Strong keyboarding and computer skills to include MS Office (Word and Excel) experience at an intermediate level. 10-key data entry proficiency.
    • Knowledge of medical coding and third-party operating procedures and practices as well as knowledge of financial concepts.
    • Experience working with basic office machinery and equipment, including computers, copiers, fax machines, multi-line phone systems, etc.
    • Knowledge of HIPPA privacy and security rules and regulations.
    • Excellent interpersonal skills, with the ability to communicate effectively with others.
    • Strong organizational skills, with the ability to multi-task and meet deadlines.
    • Demonstrates initiative, with the ability to manage self and workload.
    • Strong analytical and problem solving abilities. Good mathematical aptitude.
    • Exemplary customer service focus, for both internal and external clients.
    • Able to work both independently and be self-directed, as well as being able to perform in a team atmosphere.
    • Displays professionalism and represents organization in a professional manner.
    • Ability to abide by ethical guidelines and policies, including strict adherence to confidentiality and HIPPA guidelines.

    Other:

    • Must be 18 years old or older.
    • Must be able to pass a Wisconsin Caregiver’s Background Check.

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