AR Collections Specialist - Sevita
Detroit, MI
About the Job
At Sevita, we believe that everyone deserves to live well. For more than 50 years, our team members have provided home and community-based health care for adults, children, and their families across the United States. Our extraordinary team offers innovative, quality services and support that lead to growth and new opportunities for the people we serve and for our employees.
Do you have experience in Accounts Receivable/Collections and a desire to work for a company that positively impacts the lives of others? In the AR Collections Specialist role, you will contribute to the company’s commitment to serve others by sending claims to the payer in a timely and accurate manner.
This role is 100% remote and can be performed from anywhere in the US.
_Responsibilities:_
+ Review and work in Denial Workflow (DWF) for tasks with follow-up dates that are set to expire on that day and for tasks without a payer response once past 30 days from billing
+ Work credit balances on the aging and overpayment account and follow the credit balance procedure for resolution
+ Prepare appeal packet as required by payer, scan and save documentation to be sent, and update DWF with notes and a follow-up date
+ Update collection procedures as necessary
+ Review and work denials in workflow system, payer portal, and/or clearinghouse portal daily
+ Follow-up with Field on updates to items assigned to them that are past follow-up date
+ Update DWF with clear concise notes as claims are worked
+ Review unapplied cash log for any items that can be applied and work with cash team to resolve
+ Complete necessary forms and provide appropriate support for refunds, cash moves, sales adjustments, and transfer of liability
+ Ensure internal control compliance with all assigned areas and other audit requirements
+ Maintain an effective control environment for the accounting operations
_Qualifications:_
+ High school diploma or equivalent required; Associate or Bachelor's degree in a finance-related field preferred
+ 2-3 years of experience with Medical Collections in a high-volume environment preferred Knowledge of ICD-10 diagnosis codes, CPT medical service codes, UB-04, and HCFA-1500 forms
+ Strong understanding of medical collections compliance, Medicare, Medicaid, Medicaid managed care, Commercial, Workers Comp, and Auto-no-fault payer types
+ Self-motivated, detail-oriented, and highly organized with the ability to multi-task
+ Excellent communication skills, analytical skills, and the ability to collect information from multiple sources
+ Effectively use Microsoft Office
_Why Join Us?_
+ Full compensation/benefits package for employees working 30+ hours/week
+ 401(k) with company match
+ Paid time off and holiday pay
+ Complex work adding value to the organization’s mission alongside a great team of coworkers
+ Enjoy job security with nationwide career development and advancement opportunities
We have meaningful work for you – come join our team – _Apply Today!_
Sevita is a leading provider of home and community-based specialized health care. We believe that everyone deserves to live a full, more independent life. We provide people with quality services and individualized supports that lead to growth and independence, regardless of the physical, intellectual, or behavioral challenges they face. We’ve made this our mission for more than 50 years.
_Sevita is committed to providing equal opportunities to all employees and applicants for employment. We are committed to creating an inclusive and diverse workplace that values and respects the unique talents, experiences, and perspectives of our employees and_ _the people we serve._
_As an equal opportunity employer, we do not discriminate on the basis of race, color, religion, sex, national origin, age, disability, genetic information, sexual orientation, pregnancy, gender identity or any other characteristic protected by law._
Do you have experience in Accounts Receivable/Collections and a desire to work for a company that positively impacts the lives of others? In the AR Collections Specialist role, you will contribute to the company’s commitment to serve others by sending claims to the payer in a timely and accurate manner.
This role is 100% remote and can be performed from anywhere in the US.
_Responsibilities:_
+ Review and work in Denial Workflow (DWF) for tasks with follow-up dates that are set to expire on that day and for tasks without a payer response once past 30 days from billing
+ Work credit balances on the aging and overpayment account and follow the credit balance procedure for resolution
+ Prepare appeal packet as required by payer, scan and save documentation to be sent, and update DWF with notes and a follow-up date
+ Update collection procedures as necessary
+ Review and work denials in workflow system, payer portal, and/or clearinghouse portal daily
+ Follow-up with Field on updates to items assigned to them that are past follow-up date
+ Update DWF with clear concise notes as claims are worked
+ Review unapplied cash log for any items that can be applied and work with cash team to resolve
+ Complete necessary forms and provide appropriate support for refunds, cash moves, sales adjustments, and transfer of liability
+ Ensure internal control compliance with all assigned areas and other audit requirements
+ Maintain an effective control environment for the accounting operations
_Qualifications:_
+ High school diploma or equivalent required; Associate or Bachelor's degree in a finance-related field preferred
+ 2-3 years of experience with Medical Collections in a high-volume environment preferred Knowledge of ICD-10 diagnosis codes, CPT medical service codes, UB-04, and HCFA-1500 forms
+ Strong understanding of medical collections compliance, Medicare, Medicaid, Medicaid managed care, Commercial, Workers Comp, and Auto-no-fault payer types
+ Self-motivated, detail-oriented, and highly organized with the ability to multi-task
+ Excellent communication skills, analytical skills, and the ability to collect information from multiple sources
+ Effectively use Microsoft Office
_Why Join Us?_
+ Full compensation/benefits package for employees working 30+ hours/week
+ 401(k) with company match
+ Paid time off and holiday pay
+ Complex work adding value to the organization’s mission alongside a great team of coworkers
+ Enjoy job security with nationwide career development and advancement opportunities
We have meaningful work for you – come join our team – _Apply Today!_
Sevita is a leading provider of home and community-based specialized health care. We believe that everyone deserves to live a full, more independent life. We provide people with quality services and individualized supports that lead to growth and independence, regardless of the physical, intellectual, or behavioral challenges they face. We’ve made this our mission for more than 50 years.
_Sevita is committed to providing equal opportunities to all employees and applicants for employment. We are committed to creating an inclusive and diverse workplace that values and respects the unique talents, experiences, and perspectives of our employees and_ _the people we serve._
_As an equal opportunity employer, we do not discriminate on the basis of race, color, religion, sex, national origin, age, disability, genetic information, sexual orientation, pregnancy, gender identity or any other characteristic protected by law._
Source : Sevita
