Accounts Receivable Specialist

Position Title :
Accounts Receivable Specialist

Location :
Remote

Who is BRIDGE?
BRIDGE Healthcare Partners is a not-for-profit organization founded in 2011. We are a mission-based managed service organization for not-for-profit organizations in the healthcare, community wellness, and childcare services arena. We provide a framework of services including:
Information Technology (IT)
Revenue Cycle Management (RCM)
Electronic Health Records (EHR)
The most concise way to describe BRIDGE's services is to imagine a physician's office, community wellness, childcare center, or clinic. BRIDGE can perform the IT, billing, and electronic medical record functions of a group of physician's offices, clinics, wellness organizations, or childcare centers so they can focus on providing exceptional service. Although much of our client base is in the healthcare sector, we also have clients in higher education and community-based non-profits.

The Role
The Accounts Receivable Specialist follows up with insurance carriers on denied, underpaid, or unresolved insurance claims. This position requires a comprehensive understanding of the entire revenue cycle and appropriate actions to take to resolve claim issues with payers in a timely manner.

As an employee of BRIDGE Healthcare Partners, you should strive to maximize your performance and contribution to BRIDGE Healthcare Partners and the clients we serve every day. Employees are expected to work in a manner that demonstrates a commitment to quality, patient safety, employee engagement, innovation, and the highest standards of personal integrity, professionalism, and competence.

This position is an advocate of the overall culture, vision, and values of BRIDGE. This position reports to the Manager of CBO (Central Billing Office).

This position is ideal for someone who is:
Autonomous/Independent - ability to work efficiently and acquire knowledge necessary for positive outcomes with little assistance
Dependable - more reliable than spontaneous
Advocacy - thrives on being an advocate for our client(s) by bringing continuous improvement to our team for operational, clinical, and financial process improvements and drives the resolution of issues
People-oriented - enjoys interacting and collaborating with diverse positions internally and externally by bringing together all perspectives to arrive at the best solution
Customer Service Success Driven - possesses the ability to build consultative client relationships, excels at working with internal cross-functional partners, and thrives in a dynamic, team-focused environment delivering against tight deadlines.
Primary Responsibilities include but are not limited to:
Follows organization policies and procedures
Provides superior customer support to our clients and their customers by responding to questions and requests; effectively escalates issues as required
Cross-trained to provide department coverage
Effectively trains team members
Successfully navigates multiple vendors including but not limited to payer websites and clearinghouse(s)
Produces and maintains department policies, procedures, documentation, and training materials for role-specific activities
Upholds "best practices" in day-to-day processes and workflow standardization to drive maximum efficiencies across the team
Must maintain professional and consistent communication with the team and clients to ensure that all needed items are received in a timely manner
Routinely collaborates with department managers to correct problems and improve services
Accurately documents collection activity performed
Identifies inaccurate claim denials, under or overpayments, billing errors, and discrepancies to correct to ensure resolution
Informs manager of identified issues or trends
Manages inbound and outbound calls for multiple clients, this may include handling different topics and being a contact between patients and clients
Provides timely resolution of assigned accounts for multiple clients
Successfully submits appeals to insurance companies to obtain reimbursement
Successfully navigates multiple vendors including, but not limited to, payer websites and clearinghouse(s)
Meets specified department performance requirements
Resolves support tickets submitted by clients and assigned to the department according to metrics assigned
Manages time and multi-tasks appropriately to meet expectations of management and peers
Remote employee is responsible for sufficient internet connectivity and equipment necessary to complete assigned job duties in an efficient manner
Remote employee is responsible to keep work area quiet and organized during scheduled working hours
Other responsibilities as assigned
Minimum travel may be required
Minimum qualifications, skills, and abilities:
High School Diploma or equivalency required
Prior NextGen and/or experience preferred
2+ years' experience in healthcare (professional) billing, health insurance, or equivalent operations work environment
Adhere to all HIPAA guidelines
Excellent communication skills and problem-solving skills
Ability to read and understand an EOB
Ability to manage multiple tasks/projects simultaneously and adapt to frequent priority changes
Ability to work both collaboratively and independently
Capacity to identify and implement improvement opportunities where enhanced processes, technology, or efficiencies can be applied
Proficient technical skills and customer satisfaction skills, including the ability to troubleshoot products, use MS Office applications, and webinar software
Physical Requirements:
Remaining in a stationary position, often standing, or sitting for prolonged periods
Adjusting or moving objects up to 20 pounds in all directions
Communicating with others to exchange information
Repeating motions that may include the wrists, hands, and/or fingers
Assessing the accuracy, neatness, and thoroughness of the work assigned
Equal Opportunity Employer
BRIDGE Healthcare Partners is proud to be an equal opportunity employer and we are committed to maintaining a diverse and inclusive environment. All qualified applicants will receive considerations for employment without regard to race, color, sex (including pregnancy, childbirth, reproductive health decisions, or related medical conditions), gender identity, gender expression, age, status of protected veteran, status as an individual with a disability, religion, sexual orientation, national origin, genetic information, or any other protected characteristics as outlined by federal, state, or local laws.
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