Accounts Receivable Specialist

About this role

Accounts Receivable Specialist – Job Description

Employment Type: Full Time Level: Associate Location: Remote, Minnesota Compensation: D ependent on relevant experience

Who we are:

At Herself Health, we're on a mission to help women get more life out of life, together. We are building a new model of primary care for women 65+ to solve long-standing problems: rushed appointments, long wait times, and care that's generalized rather than specialized towards women’s needs later in life such as post-menopausal care, bone density, weight management, and mental, social and emotional well-being.

Our patient-centric Primary Care clinics are dispersed across Minneapolis/St. Paul, MN. We are thrilled to serve the Twin Cities metro in our clinics located in Highland Park (St. Paul), Crystal, and South Minneapolis, Rosedale and Eagan. Our team of mission-driven colleagues is on a mission to innovate the primary care landscape for women 65+. We’re seeking like-minded individuals who share in our passion to join us!

About you:

As we grow our team, we are seeking strategic thought leaders who have a passion for building and innovating. We foster a culture of collaboration, excellence and the willingness to roll up our sleeves and learn as we grow. We have a customer first mindset, and we are looking for team members who share that. Our ideal candidates have strategic prowess and the ability to use data to build best practices and implement great ideas in collaboration with our team and our community.

About the Accounts Receivable Specialist Role:

This position reports to the Director of Billing and Payer Relations and is responsible for the accurate and timely collection of Medicare, Private and Commercial payments.

Responsibilities include:

• Initiate AR follow-up of all unpaid or denied claims with the appropriate Payer or Patient

• Resolve delinquent accounts in a timely manner by proactively working outstanding accounts

• Obtains missing claim information to ensure prompt payment

• Research, appeal and resolve claim rejections/denials with the appropriate Payer

• Respond to written Payer communications as indicated with appropriate action in a timely manner

• Respond to calls and/or emails from patients regarding billing questions/issues

• Update insurance and/or patient demographic information in the practice management system as required during follow up process

• Communicate payment or denial patterns that impact revenue to management in a timely manner

• Document daily in the practice management system all follow up and communication on a patient account in a consistent and concise format

• Processes adjustments when appropriate and in accordance with policies

• Maintain knowledge of mental health billing, department policies and procedures

• Develop and maintain positive working relationships with cross-functional teams, teammates and Payor representatives and other key stakeholders

• Consistently meet or exceed the department productivity and quality standards and performance requirements

• Collaborate as needed to identify and resolve underpayments and overpayments

• Mentors, trains, educates, and supports Team in order to facilitate and increase their ability to perform

• Create training materials and policies as needed

• Help maintain credentialing accuracy and updates

• Other duties and responsibilities as assigned

Qualifications and Skills:

• 2+ years of physician billing and accounts receivable in healthcare

• Accurate; detail oriented and able to meet tight turnaround times

• Ability to exercise initiative, judgment and decision-making skills

• Intermediate computer skills and proficiency in MS word, excel outlook and database management and internet usage

• Self-starter; able to move own workflow along with minimal oversight

We support Equal Employment Opportunities (EEO). We are committed to an inclusive workplace. We do not discriminate on the basis of race, religion, color, national origin, gender identity or expression, age, marital status, veteran status, disability status, parental status, political affiliation, or any other status protected by federal, state, or local laws.

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