Accounts Receivable

hace 4 días

Guadalajara, Jalisco, México Prime Providers A tiempo completo
Company Description

Uplift's mission is to empower businesses through strategic nearshoring solutions, we enable US companies to tap into a pool of highly skilled professionals, helping them maximize their efficiency and competitiveness in the global marketplace. Our commitment to cost-benefit advantages and hiring top talent ensures that businesses achieve optimal financial outcomes and reduce operational costs.

Job Description
  • On-site position
  • Maintain accounts receivable records to ensure aging is current
  • Credits and collections are applied accurately and in a timely fashion
  • Has an understanding of the accounts receivable posting process for medical billing including charges, payments, and adjustments.
  • Posting financial transactions through the use of automated systems and team processes.
  • Accurately interprets insurance explanation of benefits to ensure proper posting.
  • Retrieves and uploads 835 remittance files into the patient account system ensuring file reconciliation including reviewing and posting exception files.
  • Participation in optimizing productivity within the area.
  • Maintains knowledge of the work area and optimizes the use of available technology. 
  • Researches all information needed to process and complete insurance and/or patient refunds by obtaining information from providers, insurance plans, ancillary services staff, and patients.
  • Accurately processes insurance and patient refund requests by demonstrating an advanced understanding of the coordination of benefits and eligibility requirements.
  • Receives and processes all refunds utilizing insurance contracts and requirements for accuracy.
  • Establishes and maintains effective communication with physicians, staff, and other departments as required.
  • Accepts and completes additional requests from the RCM Director.
  • Adheres and understands the Business Office rules and regulations in regards to Medicare and HIPAA guidelines.
  • Effectively forwards accounts requiring work up or resubmission to RCM Director.
Qualifications
  • Advanced level of English 
  • A minimum of 1 year of experience in medical billing and/or cash applications or equivalent experience in a healthcare environment.
  • Prefer previous cash posting experience in a multiple lockbox environment.
  • Must be able to communicate effectively with physicians, patients, and the public and be capable of establishing good working relationships with both internal and external customers.
  • Has previously worked in an Electronic Medical Record system.

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