Reports to: Accounts Receivable Director

FLSA Status: Exempt/Full-Time

Location/Travel: Based out of our corporate office in San Antonio, occasional local errands as needed

Job Summary:

The Billing A.R Specialist main role is to work the billing and collections workflow from beginning to end. They must review, process, and bill EMR invoices, and work with primary, secondary, and tertiary insurance carriers. Remittance review and interpretation, payment posting, involves verbal and written collection efforts when necessary. Ledger balancing, account balancing, and participating in and managing complex projects for the department. A lot of customer service for outbound or inbound calls, keeping up to date on all changes in the industry, and reporting internal processing errors. There are some receptionist duties, and intake coordination, when necessary while maintaining a flexible schedule/hours.

One must conduct self in accordance with the company employee handbook, and all other responsibilities/tasks as required, ongoing, and assigned. This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, skills, and working conditions may change as needs evolve.

Duties and Responsibilities:

• Maintaining the billing system
• Maintaining accounts receivable files and records
• Preparing and reviewing claims using billing software, including electronic and paper claim processing
• Post Review - Generating claims for primary, secondary, and tertiary insurance pay accounts
• Post Review - Generating account statements for patient pay accounts
• Review and complete A/R reports as assigned
• Maintain an accurate aging report
• Investigating and resolving any irregularities with contract reimbursement
• Updating billing software with rate changes
• Keeping up to date with coding guidelines and policies pertinent to home health and clinic billing
• Conduct account research and analysis to perform account follow-up to include corrections, appeals, or resubmission of files not originally received
• Prepare and maintain various reports
• Identify and execute the necessary process adjustments
• Reconcile A/R to the G/L
• Calculate, post, and manage accounting figures and financial records
• Answer and follow up on all internal inquiries (emails, EMR IM, or interoffice calls)
• Interact with customers to resolve outstanding issues for patient pay accounts
• Interact with provider representatives and liaisons for insurance pay accounts
• Setting up patient payment plans and work collection accounts.
• Participate in all team and company meetings
• Accomplishes accounting and organization mission by completing related results as needed
• Promote and demonstrate exceptional customer service and professionalism

Requirements:

Competencies:

• Attention to Detail
• Customer Focused
• Problem-Solving
• Priority Setting
• Drive for Results
• Excellent oral and written communication
• Time Management
• Stress Management

Education and Experience:

Required:

• Associate's degree (A.A.) or equivalent from a two-year college or technical school; or a minimum of 2 years of hands-on related experience and/or training; or equivalent combination of education and experience
• Experience with medical billing and coding
• Computer skills, functionally competent with "Prompt" and secondary software utilized in Agency operations, after initial Agency training
• Proficiency with Microsoft products, including Word, Excel, Outlook
• Experience with billing software and electronic medical records
  

Preferred:

• Customer service experience with inbound and outbound calls
• Flexibility in your daily work schedule
• Promote and uphold strict confidentiality
• Adhere to all HIPAA guidelines/regulations

Circle of Care provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

Salary Description:

$16.00 to $18.00/ hour