Collections Specialist
Kforce
Kforce has a client in Portland, ME that is seeking a Collections Specialist.
Responsibilities:
* Validate data in EHR (Admission, Discharge, Transfer, Service Notes, Billing Logs, Attendance, Reports)
* Prepare charges for billing (HCFA1500, UB92, HIPAA 837, payer-specific invoice)
* Read and solve EDI files and Explanation of Benefits
* Knowledge of ICD9 and ICD10 Diagnosis
* Reconcile revenue in EHR or offline billing
* Manage and correct Payor rejections and denials
* Follow-up on past due or denied accounts
* MaineCare Authorization Import
* Research and resolve credit balances
* Maintain A/R files (Client files, Billing documents)
* Respond to calls from Program Directors, clinicians, payers, clients
* Maintain Excel spreadsheets and census reports
* Prepare reports for department heads and program directors
* Attend meetings and provide backup support
* Assist in A/R-related matters for year-end, internal QA, or third-party audits
* Perform additional tasks as assigned by the Accounts Receivable Manager or Director
* Demonstrate Spurwink values and CARE principles in all responsibilities
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