The Harrisonburg-Rockingham Community Services Board (HRCSB) has an immediate need for an Accounts Receivable Specialist. Established in 1972, HRCSB is quasi-governmental agency that specializes in the treatment of behavioral health and developmental disabilities. The ideal candidate will have experiences with medical insurances and billing practices with EHR system. Primary responsibilities include working unpaid/outstanding claims, delays, denials, or other problems in the payment of designated payers. Identifies and resolves billing problems and account discrepancies. Contacts third-party payers to verify eligibility, check claim status, and/or follow up on outstanding claims. Additional duties may include applying electronic payments to client’s accounts, medical intakes, and verify insurance benefits. Technical knowledge of Medicaid, Medicare and other third party payer systems, regulations, and procedures preferred; ability to be a team player and provide support across functions as needed; ability to communicate effectively orally and in writing; exceptional interpersonal skills to obtain and clarify complex information; and obtain the cooperation of others within and outside of the agency. This position reports to HRCSB Reimbursement Supervisor.
Major Essential Functions:
- Job duties will evolve and may change based on agency demands.
- Daily, works insurance notifications with other Reimbursement staff.
- Daily applies client and third-party payments, insurance remittances, etc. to clients’ accounts in the Electronic Health Record system (backup to Accounts Receivable Specialist).
- Pursues unpaid/outstanding claims, delays, denials, or other problems in the payment of designated payers. Identifies and resolves billing problems and account discrepancies. Contacts third-party payers to verify eligibility, check claim status, and/or follow up on outstanding claims.
- Maintains up-to-date knowledge of third-party and other payers’ requirements to assist with notifications within the electronic health record and maximize reimbursements from those sources of revenue.
- Applies client payments received through intake and/or mail to account in Credible. Works with staff to reconcile missing items from the deposit during intakes.
- Prepares AR statements monthly for distribution.
- Works with Reimbursement Supervisor to reprocess billings as needed.
- Prepares client refunds for approval by Controller.
- Assists in the collection procedures of client overdue accounts (legal action, set-off debt).
- Maintains and supports internal controls for all activities in the Reimbursement Area including account receivable, collections, write-offs, and any other activities as identified.
- Maintains current knowledge of the insurance company’s requirements and other payers to maximize the reimbursements from those respective sources of revenue and assist with notifications within the electronic health record.
- Maintains effective relationships with co-workers and clients based on courtesy, compassion, and respect.
- May back up other departmental functions or perform other duties and special projects as assigned consistent with established operational policies and procedures.
Required Knowledge, Skills, and Abilities:
- Technical knowledge of medical billing, reimbursement, and accounts receivable practices, with emphasis on managed care and third-party payment requirements.
- Knowledge and navigation of billing system including reporting, preferable experience with Credible.
- Technical knowledge of Medicaid, Medicare, and other third-party payer requirements & regulations, procedures, and systems.
- Work independently, and coordinate responsibilities and assignments of others at the appropriate level. Ability to seek and use supervision appropriately.
- Make decisions and initiate action based on established policies and procedures.
- Ability to explain complex payment/billing issues understandably to others who don’t have billing knowledge.
- Demonstrate knowledge of computer operations in automated accounts receivable systems, office procedures, and equipment; Excel-intermediate
- Perform detailed work in an accurate, efficient, and professional manner.
- Provide excellent customer service internal and external.
- Ability to understand and follow oral and written directions.
- Strong organizational, and communication-both oral and written and interpersonal skills.
- Ability to be a team player within the department, agency, and external to others. Flexibility with work duties.
- Maintain confidentiality of client and staff at all times.
Minimum Educational Experience:
Completion of high school or GED, preferably supplemented by college or business school courses; plus two years of progressively responsible experience in relevant administrative support work, including reimbursement and third-party billing experience, OR any equivalent combination of training, experience, and aptitude that provides the required knowledge, skills and abilities.
Additional Requirements:
- Valid driver's license with acceptable driving record.
- Background check with favorable results.
E-Verify Notice: After accepting employment, new hires are required to complete an I-9 form and present documentation of their identity and eligibility to work in the United States.
HRCSB is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact recruitment@hrcsb.org.
Interested individuals should visit https://www.hrcsb.org/job-application/ and submit an application. After we receive your application, we will send an email confirming its receipt, this is not an automated email.