This position is responsible for Post-payment and Account Follow-up and/or grievance preparation of assigned Client Hospital Accounts Receivable. Responsibilities may include account maintenance of specialized or multiple payers including state and federal government programs, managed care, commercial and other insurance groups. The AR Specialist Lead will serve as a liaison to clinical auditors, other team members, hospital staff, government agencies and health plans to facilitate the appropriate and prompt payment of claims. The AR Specialist Lead will have a dual role supporting Savista while being a resource and escalation point for junior staff. It is expected that the AR lead will have the highest working knowledge of US Accounts receivable practices.
Performs all duties of AR Specialist I and II– In addition:
Utilizes reports for analysis and to monitor follow up activities and prioritizationAssists organization with working through special projects as neededSME for colleagues and provide direction for resolution of accountsAssists in new hire trainingAssists in content building of training materialsWorks escalated accountsProactively implements improvements and programmingMinimum Requirements & Competencies: 7+ years of medical collections/billing experienceAt least 6 months direct experience working in Epic's billing modules (Epic Resolute PB or Epic Resolute HB)Intermediate knowledge of ICD-10, CPT, HCPCS and NCCIExpert knowledge of third party billing guidelinesExpert knowledge of billing claim forms (UB04/1500)Expert knowledge of payor contractsWorking Knowledge of Microsoft Word and ExcelIntermediate working knowledge of health information systems (i.e. EMR, Claim Scrubbers, Patient Accounting Systems, etc.)3 Years working in Epic Medical Record system as a lead in billing, collecting, and follow-upPrior Supervisory or leadership experienceWorking knowledge of DDE Medicare claim systemKnowledge of US government rules and regulationsMust be willing to work onsite in Ortigas, Pasig City
#J-18808-Ljbffr