Clinical Health Network For Transformation (CHN) · 2 days ago
Accounts Receivable (AR) & Follow-Up Specialist
United States
Full-time
Remote
Entry, Mid Level
$22/hr - $32/hr
2+ years expClinical Health Network for Transformation (CHN) is dedicated to advancing health equity and providing affordable care. They are seeking an Accounts Receivable & Follow-Up Specialist to manage the accounts receivable process, ensuring timely payment collections and compliance with billing regulations.
Non-profit Organization Management
Responsibilities
Ability to perform all duties for a Billing Specialist
Handle complex accounts for both follow-up, appeal, and credit balance resolution
Follow up on unpaid claims to collect outstanding balances. Investigate and resolve claim denials by reviewing medical records, coding, and payer contracts
Ability to write and submit escalated appeal letters and represent compelling case to overturn denials with payors, following all billing and compliance regulatory guidelines
Reviewing daily clearinghouse rejections, resolving, and alerting management of any trends in claim rejections
Maintain detailed and accurate patient financial records, documenting all account notes and actions taken
Work with healthcare providers to obtain necessary medical documentation, referrals, or authorizations required for claim processing and reimbursement
Ability to follow-up on multiple payor types and across multiple states for Commercial, Medicare, Medicaid, Medicaid Managed Care, Blue Cross, Title X, etc
Review aged accounts, coordinates and escalates any denial and appeal projects with payors
Achieve established key performance indicators (KPIs) for position
Communicate effectively with insurance companies, patients, and healthcare providers to resolve billing issues and ensure accurate claim submission
Assist Manager to resolve issues and provide support and guidance to the revenue cycle team
Ensure compliance with all CHN and affiliate policies, as well as all state and federal regulations
Demonstrates a commitment to CHN and Planned Parenthood’s mission related to health equity, especially centering racial equity, and deep sense of accountability to community
Demonstrates a commitment to learning about and enhancing practices related to racial equity and the impact of structural racism on healthcare systems
Provides positive and development feedback and accountability related to practices including, but not limited to, equity
Qualification
Required
Bachelor's degree in healthcare administration or equivalent experience
Minimum of 2 years of relevant account receivable experience
Previous experience using ICD-10 Medical Coding and Current Procedural Terminology (CPT)
Knowledge of medical terminology
Strong analytical and problem-solving abilities
Proficiency with Microsoft software (Excel, etc.)
Demonstrated ability to maintain a customer-centric service approach in a fast-paced environment
Excellent written and verbal communication skills and ability to collaborate and interact with all levels within and outside of CHN if necessary
Strong attention to detail and follow-up; and ability to multi-task in fast-paced environment
Demonstrated dedication to Planned Parenthood's mission, vision, and values
Strong interpersonal skills and the ability to build relationships with stakeholders
Excellent time management, and problem-solving skills
Commitment to advancing race (+) equity in one's work: interested in expanding knowledge about the role that racial inequity plays in our society
Awareness of multiple group identities and their dynamics, bringing a high level of self-awareness about personal identity, empathy, and humility to interpersonal interactions
Demonstrated ability to communicate clearly and directly as well as hear and act on feedback related to identity and equity with the aim to learn
Strong sense of accountability to equitable practices
Understanding of the impact of identity dynamics on organizational culture
Commitment to CHN and Planned Parenthood's In This Together service ethos, workplace values, and service standards
Preferred
Strong General Technology Skills: proficient utilization of Excel, Word, and Windows environment, Epic, eCW, NextGen or other practice management systems experience a plus
Medical Billing and Coding certification, Certified Revenue Cycle Representative (CRCR) or other certification a plus
Willingness to travel in accordance with the needs of the position, as outlined in the essential functions. Compliance with all CHN travel policies, including safety guidelines while operating a personal vehicle
Benefits
Health Care Coverage (Medical, Dental, & Vision); eligibility for full-time, regular employees on date of hire
Flexible Spending Accounts and Health Savings Account
Short-Term Disability and Basic Life & AD&D Insurance provided by CHN
Voluntary elections for Long Term Disability and Additional Life & AD&D Insurance available at cost
Employee Assistance Program
Retirement Plan, 3% employer match after one year of service
Paid Time Off Program includes accrual-based PTO, Health Time Off (HTO), and nine (9) paid Holidays
Company
Clinical Health Network For Transformation (CHN)
CHN (an ancillary organization of Planned Parenthood) is a managed services organization that will provide an expansive suite of integrated standardized shared services and manage the Clinically Integrated Network (CIN) formed to improve quality care delivery, generate additional revenue, and reduce overall cost.
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Lee Bower, CPA
Chief Financial Officer
Aaron Caine
Interim Chief Information Officer
Company data provided by crunchbase