About the role:
We are actively seeking an Accounts Receivable Specialist to support Talkiatry’s continued financial and operational success. This role is an integral part of the revenue cycle team and will support our rapid growth and care delivery model. The A/R Specialist will follow the established job performance standards for the position and must have fundamental knowledge of billing, collection, and insurance reimbursement procedures and methodologies.
The A/R Specialist is part of the team responsible for an optimal insurance claims adjudication as it relates to unpaid claim follow up, claim status checking, denial appeals and its workflows. This team is also responsible for review and resolution of identified underpayments, processing of write offs, review of all hold accounts prior to sending them to collections maintenance of payor policies and its updates and other assignments.
You will:
- Utilize our practice management system and electronic health record, eClinicalWorks, to manage the full cycle of medical billing and A/R activities.
- Use your fundamental knowledge of third-party insurance, timely filing, coordination of benefits, authorizations, referrals, copayments (in and out of network), deductibles, and coverage limitations and maximums to support the revenue cycle.
- Differentiate between best practices of appeal, coding review, credentialing review and/or adjustment.
- Submit claims, after verifying the accuracy of the information provided and the existence of the necessary documentation to support charges.
- Work closely with Patient Care Coordinators and Medical Coders on issues adversely affecting billing.
- Assist and support auditing and compliance processes by ensuring billing and documentation meet standards with respect to billing practices.
- Be responsible for denial management, supporting the manager in the root cause analysis and working cross functionally to support denial prevention.
- Review of all write offs for accuracy.
- Identify accounts reaching timely filing and work them expeditiously to prevent final denial.
- Work collaboratively with billing, coding, PCCs, and other Talkiatry staff to lower aged receivables while increasing collections.
- Review Explanation of Benefits and take the appropriate course of action (resubmit, transfer, or write off charges)
- Contact insurance companies and utilize web portal and websites for appeal, eligibility, remittance, and payment information.
- Exhaust all collection efforts (as defined in Talkiatry’ s collection policies) before transferring accounts to collection agency.
- Meet or exceed daily productivity benchmarks.
- Perform other responsibilities assigned by Talkiatry AR management.
You Have:
- Working knowledge of CPT, ICD-10, and medical terminology.
- Thorough understanding of follow-up processes, and experience working in a fast-paced environment.
- Experience in Accounts Receivable with working knowledge of Revenue Cycle policies and procedures.
- Experience working in a physician billing environment.
- Experience with reporting and communicating issues and trends.
Your Qualifications:
- 3-5 years of experience in claims resolution or medical billing.
- Proficiency in Microsoft Office Suite, including Word and Excel.
Why Talkiatry:
- Top-notch team: we’re a diverse, experienced group motivated to make a difference in mental healthcare
- Collaborative environment: be part of building something from the ground up at a fast-paced startup
- Flexible location: work where you want to, either remotely across the U.S. or from our HQ in NYC
- Excellent benefits: medical, dental, vision, effective day 1 of employment, 401K with match, generous PTO plus paid holidays, paid parental leave, and more!
- Grow your career with us: hone your skills and build new ones with our Learning team as Talkiatry expands
- It all comes back to care: we’re a mental health company, and we put our team’s well-being first
- Compensation range for this position is $50,000 to $55,000, depending on experience; actual compensation will be dependent upon the specific role, location, as well as the individual’s qualifications, experience, skills and certifications.
Talkiatry participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. only after a job offer is accepted and Form I-9 is completed. For more information on E-Verify, please visit the following: EVerify Participation & IER Right to Work.
At Talkiatry, we are an equal opportunity employer committed to a diverse, inclusive, and equitable workplace and candidate experience. We strive to create an environment where everyone has a sense of belonging and purpose, and where we learn from the unique experiences of those around us.
We encourage all qualified candidates to apply regardless of race, color, ancestry, religion, national origin, sexual orientation, age, citizenship, marital or family status, disability, gender, gender identity or expression, pregnancy or caregiver status, veteran status, or any other legally protected status.
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Talkiatry Careers – Accounts Receivable Specialist (jobvite.com)
