Accounts Receivable Specialist

November 5

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The MH Group (ManeHire)

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Description

• We are seeking an Accounts Receivable Specialist to join our client's team! • As an AR Specialist, you will play a crucial role in managing financial transactions related to receivables. • Your responsibilities will include processing invoices, reconciling accounts, and ensuring timely collections. • We are seeking a detail-oriented professional who can contribute to the financial health of our organization. • Reviewing and Approving OTP Billing: Ensure accurate and timely processing of billing transactions related to outpatient treatment programs (OTP). • Investigating Denials and EOB (Explanation of Benefits): Analyze claim denials and EOBs to identify discrepancies and resolve issues promptly. • Stay informed about Medicare regulations and managed care organizations (ACO/MCOs) to optimize billing processes. • Verify payment rates against contractual agreements and reconcile any discrepancies. • Perform audits on assigned claims, ensuring compliance and accuracy. • Handle both manual and electronic processing of billing denials efficiently.

Requirements

• 2-3 years of experience in accounts receivable or billing in the behavior health field required. • High School Diploma or GED (required). • Proficiency in CPT, ICD-10, and HCPC coding, along with familiarity with medical terminology. • Overall understanding of managed care products (HMO, PPO, ACO, MCO, etc.). • Ability to work independently and remotely while maintaining daily and monthly routines. • Skilled at reading and comprehending explanations of benefits (EOBs). • Strong working knowledge of Medicare and Medicaid benefits. • Ability to analyze complex billing scenarios and solve related issues. • Meticulous attention to detail in billing processes. • Collaborative attitude and ability to work effectively within a team. • Demonstrates a positive outlook and effective time management skills. • Basic proficiency in Microsoft Word and Excel. • Maintains precise billing records, generates reports, and identifies discrepancies. • Competent in monitoring AR and ensuring correct payment rates from payers.