Accounts Receivable Specialist chez Easterseals Blake Foundation

Description

Easterseals Blake Foundation started as the Cerebral Palsy Foundation of Southern Arizona. Since then, we have expanded our services to better serve our community members. We are now one of Arizona's top providers of comprehensive behavioral health services, child welfare, and services for individuals with intellectual and developmental disabilities. We serve more than 40,000 individuals and families across 10 counties and support more than 3,700 children in Foster Care throughout Southern Arizona. Are you ready to make profound, positive differences in people's lives every day?

We offer our full-time employees the following benefits:

• Medical, Dental and Vision
• Flexible Spending Account and Dependent Flexible Spending Account 
• Health Savings Account
• Voluntary Life insurance
• Voluntary Short-term Disability insurance
• Critical Illness insurance
• Accident insurance
• Employer paid life insurance, long-term disability insurance, and Employee Assistance Program

General Position Description: Manages healthcare claims for multiple healthcare payors to ensure efficient processing and reimbursement. 

Essential Duties and Responsibilities: 

• Performs healthcare revenue cycle accounts receivable reconciliations to ensure proper reimbursement for designated payor. 
• Researches and processes resubmission of denied/rejected claims through appropriate clearing house/payor portals, ensuring that transactions are closed timely and accurately. Maintains designated payor (AR) aging report for timely payor processing. 
• Escalates reconsiderations, appeals, and meetings to ensure proper payment of claims. Develops and maintains strong communication with payor representatives. Escalating issues when needed for efficient reimbursement processing. 
• Works denied claims quickly and efficiently to prevent loss of revenue. 
• Follows-up on unpaid claims and any billing discrepancies to ensure proper payor reimbursement. 
• Participates in the process of ongoing professional development and meetings. 
• Maintains comprehensive communication among all contacts within the agency, members, and external agencies. Models professional standards and ethics in accordance with EBF Code of Conduct, Strategic Plan, Mission, and Vision. 
• Performs other duties as assigned. 

Requirements

Minimum Requirements: High School Diploma or GED with 3 years of healthcare accounts receivable experience required. 

Regulatory

• Must be at least 18 years of age.
• Current, unrestricted AZ driver’s license with no more than two (2) minor moving violations or one (1) accident within the past three (3 years). Three (3) years of driving experience required. 
• Must be able to pass a criminal background check. 
• Ability to obtain and maintain an AZ DPS Level 1 fingerprint clearance card (employer provides). 

Skills/Job Knowledge/Abilities: Basic knowledge of healthcare payor billing guidelines, policies, practices, and procedures. Knowledge of behavioral health coding and billing guidelines with emphasis with government payors. Ability to work in a fast-paced environment. Work independently and achieve/maintain daily, weekly, and monthly KPI’s (Key Performance Indicators). Outstanding written and oral communication skills. Possess a high level of computer proficiency including but not limited to excel, clearing houses, and payor portals. Able to establish and maintain a team atmosphere of communication and collaboration for all that reach out to the Department. Must be self-directed and be sensitive to cultural and linguistic diversity. Excellent customer service in stressful situations. Maintains a professional in appearance, communications, and actions. Excellent interpersonal communication skills. 

Working Conditions/Physical Requirements (with or without accommodation): Normal office environment with multiple interruptions in person and through computer and phone. Occasional travel to outlying sites and other limited locations. Interacts with employees and administration on a daily basis. May lift normal office equipment and materials up to 25lbs. Visual acuity to read information from computer screens and forms. Able to speak clearly in conversations and general communications. Hearing ability for communication in persona, phone, and/or other electronic methods. Manual dexterity for typing and writing. Able to stoop, squat, reach, pull, push, stretch, ascend and descend stairs, stand and sit for long periods of time. May be required to work additional hours or days depending on circumstances. 

Additional Information: This job description is not intended to be an exhaustive list of all possible duties, skills, job knowledge, responsibilities, and/or qualifications. EBF reserves the right to revise the job description or to assign other duties to this position. This job description is not intended to create a contract or property right to continued employment between the employee and EBF. 

Easterseals Blake Foundation and Aviva are an Equal Employment Opportunity and Affirmative action employer that promotes a work environment of inclusion and diversity. We are committed to provide employment opportunities to all candidates based on their qualifications free of discrimination based on race, color, religion, national origin, sex (including pregnancy, sexual orientation or gender identity), age, disability, veteran status, genetic information, mental or physical disability, or any other characteristic protected by law.

If you have any questions, require assistance or reasonable accommodations while seeking employment, please contact the Human Resource Department at [email protected] or call 520-327-1529.