Portland, ME, USA
4 days ago
Collections Specialist
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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