Accounts Receivable Resource- Outpatient
Location
United States
Posted
4 days ago
Salary
$80K - $100K / year
No structured requirement data.
Job Description
- 5+ years of Business Office Manager experience in an Outpatient Therapy Clinic (PT, OT, and/or SLP)
- Accounts Receivable billing/collection experience in an Outpatient Therapy Clinic (PT, OT, and SLP)
- Experience in multi-clinic oversight role, preferred
- Experience with and ability to optimize NetHealth for Clinics software (or similar) is a plus
- PointClickCare experience preferred (this may be needed as we would like this person to also help with SNF-Outpatient Accounts Receivable as warranted)
- Ability to travel
- Able to prioritize and organize tasks at hand to meet specific deadlines
- Proficient in Microsoft Word, Outlook, Excel, and Teams
- Specialize in the Billing and Collections part of the revenue cycle for outpatient services with the ability to resolve claim rejections and denials in a timely manner
- Oversight of outpatient collection trends and identify areas of improvement for SNF and outpatient clinics
- Conduct regular follow-up on unpaid claims to ensure systems are adequate for sustainable resolution, provide education as needed
- Knowledge of State and Federal regulations specific to outpatient therapy services
- Strong knowledge of insurance and medical terminology
- Knowledge of claim form HCFA 1500 and UB0-4 form (for the SNF OP)
- Knowledge of EOB interpretation, deductibles, copays and coinsurance
- Ability to interpret contracts in relation to outpatient therapy services
- Knowledge of health plans provider manuals, policies, and edits
- Strong analytical skills including the ability to understand and interpret information between Federal, State, health plan and OT, PT, ST rules, regulations, policies etc.
- Strong leadership, communication, interpersonal, and problem-solving skills
- Ability to be impactful partnering with an interdisciplinary team
- Experience working with various health plans to ensure accurate loading of contracts into the health plan’s system
- Experience developing educational materials and providing education to a wide range of audiences
- Ability to craft policies and procedures as well as systems to safeguard the assets related to Accounts Receivable.
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