Accounts Receivable Billing Associate

JOB POSTING: Accounts Receivable Billing Associate Full –Time – Monday thru Friday (8:30 A.M. – 5:00 P.M.) Reporting Directive: CFO and CEO Accounts Receivable billing Associates will oversee all aspects of the FQHC’s management of denials, resubmission of claims, collections and payment. The Manager will ensure timely and accurate processing of claims through diligent monitoring and analysis of accounts receivable.

Ensuring compliance with financial regulations, implementing strategies to improve cash flow and manage risk associated with outstanding patient/insurance balances. The candidate must have accounts receivable expertise with New Jersey Medicaid and Medicaid HMOs. Other Insurance Coverage: Medicare, Commercial, and Sliding Fee Program.

ICD-10 Coding and the current CPT procedures for a busy primary/specialty care practice. The AR Manager/Credentialing must have extensive knowledge of E&M Coding. Essential Duties- Accounts Receivable Aging Analysis- Regularly analyzing accounts receivable aging reports Review of Reports- Software System Claims Portal

• Clearinghouse Identify Trends, address issues and improve cash flow Implement new technologies and process to streamline accounts receivable operations and improve efficiency Prepare and analyze financial reports related to accounts receivable Monitor aging balances recommend write offs/Bad Debt Approval to Write-Off Monthly/Quarterly – CFO/CEO Monthly Statistical Report for Uninsured Patients/Population of patients served Promotes the exchange of information between the Financial Counseling, Billing Department, Information Technology (IT) and CFO Support interdepartmental team building and timely resolution of coding/procedure code deficiencies Performs other duties as assigned and required to maintain an efficient and effective workflow Accounts Receivable Manager Skills Detail oriented with exceptional problem-solving skills Excellent oral communication skills Working Knowledge of Practice Management Billing Systems Familiarity with Excel Spreadsheets Ability to prioritize Accuracy and attention to detail Greenway Intergy experience is highly valued. Working knowledge of Microsoft Office products; Excel, Word, and Power Point. Excellent analytical and interpretive skills. Prior experience with a FQHC- "Federally Qualified Health Cent Essential Duties- Credential Primary source verification Preparation/Completion of Applications for Health Care Providers Recertification for providers and facility Experience with CAQH- Council for Affordable Health Care Knowledge of NPPES/PECOS/NCQA Perform monthly queries with National Practitioner Data Bank/OIG Maintain/store accurate records for Health Care Providers Communication with Insurance Plans- Participation of Providers/Facility Maintain Provider Directory for Insurance Plans Coordination with Billing and IT Department – NPI numbers Interaction with Human Resource Department Credentialling Skills Detail oriented with exceptional problem-solving skills Excellent oral communication skills Ability to create manuals, flow charts, dashboard of participation of providers Coordination with Medical Staff for Hospital Privileges Education/Experience: High school diploma required. Associate or Bachelor’s degree in Finance/Accounting, Business Management/Health. Care Administration required 3-5-years’ experience working in an accounting, billing/credentialing or accounts receivable department/Primary Care Practice Setting Experience with Practice Management Systems -- Intergy/Greenway Knowledge of Credentialing process in an FQHC Benefits Offered Medical Dental Vision Prescription Life Insurance Paid Holidays Paid Time Off Retirement The following statements reflect the general duties, responsibilities and competencies considered necessary to perform the principal functions of the job and shall not be considered as a detailed description of all work requirements that may be inherent in the position. Osborn Family Health Center is a Federally Qualified Health Center (FQHC), located in Camden, N.J, Equal Opportunity Employer.