应收账款专员 - 远程
Accounts Receivable Specialist - Remote
Crossroads Treatment Centers 是一家平等机会雇主。我们重视多样性，并致力于为所有员工创造一个包容的环境。
自2005年以来，Crossroads 一直走在治疗阿片类药物使用障碍患者的最前沿。Crossroads 是一个由专业人员组成的团队，致力于为患者提供最便捷、最高质量、基于循证医学的药物辅助治疗（MAT）方案，以应对日益严重的阿片类药物流行问题，并帮助阿片类药物使用障碍患者踏上康复之路。这种全面的治疗方法是阿片类药物使用障碍护理的黄金标准，已被证明可以预防更多过量死亡并实现长期康复。我们致力于为全美各地的社区提供关键服务，以改善超过26,500名患者的治疗可及性。我们的诊所均为门诊和办公室基础型，分布在佐治亚州、肯塔基州、新泽西州、北卡罗来纳州和南卡罗来纳州、宾夕法尼亚州、田纳西州、德克萨斯州和弗吉尼亚州。作为一家平等机会雇主，我们重视多样性，并致力于为所有员工和患者创造一个包容的环境。
应收账款专员的一天
- 及时准确地在电子病历系统中处理未付款索赔。
- 持续跟进付款方的未结余额，确保付款及时准确。
- 在电子病历系统和/或清算中心更正并重新提交索赔。
- 及时、有效且记录完整的调整提交（必须在处理前获得管理层批准）。
- 使用多种方法研究未付款索赔，包括拨打付款方电话、使用网络门户和查阅书面指南。
- 保持账户状态的清晰、简洁和最新文档。
- 在完成索赔跟进时，正确沟通并记录发现的问题。
- 识别计费问题（代码/修饰符等），并与相关人员沟通，以确保未来提交的索赔无误。
- 根据与部门管理层讨论的每日生产率要求，保持良好的工作表现。
- 理解并遵守有关合规性、HIPAA、诚信和道德计费实践的州和联邦法规及系统政策。
- 通过各种报告工具每日报告关键绩效指标。
- 协助为其他团队成员提供培训和指导。
- 协助完成各种项目，并执行分配的其他职责。
- 生产力将根据跟踪情况来监控
查看英文原文
Crossroads Treatment Centers is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
Since 2005, Crossroads has been at the forefront of treating patients with opioid use disorder. Crossroads is a family of professionals dedicated to providing the most accessible, highest quality, evidence-based medication assisted treatment (MAT) options to combat the growing opioid epidemic and helping people with opioid use disorder start their path to recovery. This comprehensive approach to treatment, the gold standard in care for opioid use disorder, has been shown to prevent more deaths from overdose and lead to long-term recovery. We are committed to bringing critical services to communities across the U.S. to improve access to treatment for over 26,500 patients. Our clinics are all outpatient and office-based, with clinics in Georgia, Kentucky, New Jersey, North and South Carolina, Pennsylvania, Tennessee, Texas, and Virginia. As an equal opportunity employer, we celebrate diversity and are committed to an inclusive environment for all employees and patients.
Day in the Life of an Accounts Receivable Specialist
- Responsible for working unpaid claims in EMR systems timely and accurately.
- Continual follow up with payors on open balances to ensure that payment is prompt and accurate.
- Correction and resubmission of claims in EMR system and/or clearinghouse.
- Timely, valid, and well documented adjustment submission (must be approved by management prior to processing).
- Research unpaid claims using various methods including payor phone calls, web portals, and written guidelines.
- Maintain clear, concise, and up-to-date documentation regarding status of accounts.
- Proper communication and documentation of issues found while completing claim follow up.
- Identify billing issues (codes/modifiers/etc.) and communicate to the appropriate staff to ensure future clean claims.
- Maintain daily productivity level as discussed with department management.
- Understands and adheres to state and federal regulations and system policies regarding compliance, HIPAA, integrity, and ethical billing practices.
- Responsible for daily reporting of key performance indicators through various reporting tools.
- Assist with providing training and guidance to other team members.
- Assist with a variety of projects and perform other duties as assigned.
- Productivity will be monitored based on follow up of 50 claims per day minimum.
- Analysts will be responsible for self-reporting at the end of each business day
- Productivity will be verified using User Performance reporting in Waystar (OTP) and by reviewing Analysts’ spreadsheets filtered by date worked.
Education and Experience requirements
- Must have had at least 3 years accounts receivable experience in a physician office setting.
- General Knowledge of HCPCS, CPT-4 and ICD-10 coding and/or medical terminology.
- Familiar with multiple payer requirements (including Medicaid, Medicare, and/or commercial insurance follow up) and regulations for claims processing.
- Research and analysis of unpaid and denied claims including payor communication, resubmissions, and appeals.
- Must have a High School Diploma/GED.
Schedule
Required schedule is Monday through Friday from 9:00 AM to 5:00 PM.
Please note EST preferred.
Position Benefits
- Have a daily impact on many lives.
- Excellent training if you are new to this field.
- Mileage reimbursement (if applicable) Crossroads matches the current IRS mileage reimbursement rate.
- Community events that promotes belonging and education. Includes but not limited to community cook outs, various fairs related to addiction treatment and outreach, parades, addiction awareness for schools, and holiday events.
- Opportunity to save lives everyday!
Benefits Package
- Medical, Dental, and Vision Insurance
- PTO
- Variety of 401K options including a match program with no vesture period
- Annual Continuing Education Allowance (in related field)
- Life Insurance
- Short/Long Term Disability
- Paid maternity/paternity leave
- Mental Health day
- Calm subscription for all employees
Originally posted on Himalayas