Employer: Forefront Telecare
Description
Forefront Telecare Inc. (an Access Telecare company) provides telehealth behavioral health services for patients in the acute and post-acute settings, including hospitals, skilled nursing facilities and home settings with an emphasis on serving the senior population. Our mission is to provide quality behavioral health telehealth services that are widely accessible to patients in all 50 states.
We are seeking an Accounts Receivable Representative. This role is fully remote!
JOB DESCRIPTION
Accounts Receivable Representative will ensure a timely collection of outstanding behavioral health accounts receivables and resolve denials/billing issues of submitted claims. These receivables will consist of Medicare, Medicaid and commercial payor accounts.
ESSENTIAL DUTIES
- Perform accounts receivable aging reviews and prioritize collection efforts based on aging and balance
- Review insurance payments for accuracy and compliance with contracts.
- Responsible for resolving claims with insurance carriers and being aware of issues/denials that impact collections.
- Identifying and correcting billing errors and resubmitting claims to insurance carrier
- Follow up with insurance denials, appeals, and resubmissions
- Submit adjustment/write off requests for charges deemed uncollectible under company policy
- Recognize and communicate trends or problems to management
- Coordinate activities with other departments for effective collection outcomes
REQUIREMENTS AND QUALIFICATIONS
- Must have Medicare, Medicaid, and Commercial collections experience
- Must have an understanding of HCFC1500 claim forms
- Knowledge of insurance, especially Medicare and Medicaid, rules and guidelines.
- Strong knowledge and implementation of appeals process
- Strong analysis of EOBs for collections purposes
- Extremely detail oriented when working on appeals or reviewing EOBs
- Proficient use of Microsoft Windows and Microsoft Office
- Ability to resolved issues and/or inquiries in a timely manner
- Knowledge of ICD-10 and CPT coding
- Minimum of 2 years’ experience in medical collection/billing, Behavioral Health preferred, but not required
- Experience in A/R analysis, account auditing, and EOB analysis is mandatory
- Excellent interpersonal skills
- Strong verbal and organizational skills
Forefront Telecare is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status. Forefront Telecare is an E-Verify company.