Account Receivable Coordinator ($3,500 Sign On Bonus) (denial claims) (healthcare)

Company: New Season
Location: Maitland
Posted on: October 15, 2021

Job Description:

Are you a detail- and number-oriented individual that enjoys researching and problem solving? We are seeking an Accounts Receivable Coordinator to join our Revenue Cycle team at our Corporate office located in Maitland, Florida. Apply today to help fight against the opioid epidemic and join a united work family.

New Season:

For over 30 years, New Season Treatment Centers have been a leading national health care service provider of outpatient treatment centers that specialize in providing safe, quality and best in class care for individuals living with Opioid Use Disorder ("OUD").

Operating in over 70 treatment centers in multiple states, our team members are engaged in medication-assisted treatment, counseling, support, and care management of individuals living with OUD. We treat the whole person and, in so doing, address the underlying causes of OUD in an effort to provide a continuum of care that not only addresses treatment needs but supports the patient on their journey to recovery.

Job Summary:

This position reviews known denial activity, whether electronically-generated or via paper, and reviews those denials, identifying the core issue involved (claims, account, secondary, enrollment, etc.). This position then takes action to correct the known denial activity as well as take steps to prevent similar denials from occurring. Due to the complexity of denial prevention, this position will often identify cases and refer those to senior leadership to partner on solutions to denied claims

Essential Functions:

• Identifies accounts that are denied from health plans.
• Responsible for creating correct invoices and updated statements on a proper schedule.
• Edits failed payments in the clearinghouse system(s) and make the appropriate system updates to the host database so that data integrity is preserved.
• Reconcile and resolve all discrepancies ensuring all activity is posted to the respective accounts.
• Follow up on unpaid claims in a timely manner, and report problem accounts to the Account Receivable Supervisor.
• Monitors claims and requests for documentation on a weekly basis to determine additional action.
• Assists intake with authorizations and obtaining physician orders.
• Oversees and adjudicates the rebilling of claim forms when required and doing so according to the rebilling policy in effect on the day that service is rebilled.
• Assist with approving and creating new customer accounts, this will include running credit checks on applicants, setting up terms for billing, and choosing credit limits.
• Maintain files of deposits, bank receipts, and customer records.
• Efficiently and consistently review all invoices.
• Process customer adjustments

Benefits:

• $2,500 Sign On Bonus
• Competitive Pay
• Generous PTO (3 weeks with buy up options)
• Excellent Medical (EPO & PPO plans), Dental, and Vision Insurance
• FSA's, Telehealth and Tele-Counseling services
• Life Insurance
• Short/Long Term Disability
• 401k with up to 3% matching
• Reimbursement for education, license, tuition, etc. 
• Referral bonus (up to $750) 

Essential Qualifications:

Education/Licensure/Certification:

The position requires a high school diploma or GED.

Required Knowledge:

The ideal candidate is familiar with healthcare claims data and the Revenue Cycle components necessary to generate claims. Also familiar with 837 claim form formats (1500 and UB) and with common terminology for denied claims and will have been trained on zero pay items in accordance with the department's training tool for the same.

Experience Required:

This position requires a minimum of 1-year experience in healthcare roles where they have been associated with claim data and claim production, as well as account follow up and denial processing.

New Season provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. 

Keywords: New Season, Orlando , Account Receivable Coordinator ($3,500 Sign On Bonus) (denial claims) (healthcare), Other , Maitland, Florida