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Accounts Receivable Specialist 1 - Full Time

Location: Hackensack
Posted on: January 26, 2023

Job Description:

Job Type



**Remote position**

Regional Cancer Care Associates (RCCA) has become one of the largest oncology physician networks in the United States and the largest in the Northeast. With approximately 700 employees at every level of Oncologic healthcare, RCCA is committed to treating cancer patients with the highest-quality treatments and the highest-quality healthcare professionals. Please find RCCA career opportunities at our 27 locations by following the link listed below. Join the fight against cancer today.

Currently, Regional Cancer Care Associates is actively recruiting an Accounts Receivable Specialist to join its network of physician practices throughout the North Eastern, United States

Medical, Dental, Vision, Life insurance, and 401K
Paid Time Off
Tuition discounts for employees and family members at a number of universities

Role and Responsibilities
Responsible for all facets of accounts receivable management including charge entry and claims review, customer service, and
follow-up in accordance with standard operating procedures with an emphasis on maximizing patient satisfaction and profitability. Responsible for reviewing the patient information in the medical EMR and billing systems to ensure accuracy and to provide feedback to the other staff regarding patient registration. Responsible for reviewing the physician's coding to ensure accuracy, timely payments, and maximizing revenue. Responsible for submitting insurance claims both electronically and on paper. May be required to provide cross-coverage for varying divisions and accounts receivable roles to ensure efficient and professional operations and maximum patient satisfaction.

Practices standard operating procedures. Reconciles receipts and funds to accounts receivable balance, explanation of benefits (EOB), and electronic remittance advice (ERA) and deposits cash to the bank.

Review of all charges related to the assigned division's professional services, including office and hospital charges in accordance with standard operating procedures with an emphasis on accuracy to ensure timely reimbursement and maximum patient satisfaction. All charge batches should balance in both a number of procedures and total dollars prior to posting.

File all charge, payment, and adjustment batches in the appropriate format by batch date for quick reference

Review the physician's coding at charge entry to ensure compliance with Medicare guidelines and to ensure accurate and timely reimbursement.

Provide customer service to all patients, authorized representatives, and assigned division contact regarding patient accounts in accordance with standard operating procedures. Patient calls regarding accounts receivable should be returned within 2 business days to ensure maximum patient satisfaction.

Follow up on all outstanding insurance claims at 60-days from the date of service in accordance with standard operating procedures with an emphasis on maximizing patient satisfaction and practice profitability.

Follow-up on all outstanding patient account balances at 90-days from the date of service in accordance with standard operating procedures with an emphasis on maximizing patient satisfaction and profitability using the A/R aged reports.

Provide information pertaining to billing, coding, managed care networks, insurance carriers, and reimbursement to physicians, managers, and subordinates.

Follow-up on all returned claims, correspondence, denials, account reconciliations and rebills within five working days of receipt to achieve maximum reimbursement in a timely manner with an emphasis on patient satisfaction.

Submit primary and secondary insurance claims electronically each day and on HCFA semi-weekly to ensure timely reimbursement.

Attendance at relevant seminars to remain abreast of current issues regarding oncology/hematology and related services accounts receivable, Medicare Compliance, and HIPAA.

Process refunds to insurance companies and patients in accordance with standard operating procedures.

Monitor reimbursement from managed care networks and insurance carriers to ensure reimbursement consistent with contract rates.

Proficiency with web-based programs for eligibility verification and claim status, efficiently conducting accounts receivable follow-up, and maximizing revenue.

Maintain information regarding coding, insurance carriers, managed care networks, and credentialing in an organized easy reference format.

Maintain an organized, efficient, and professional work environment.


Qualifications and Education Requirements

COVID Vaccinated

High school graduate or equivalent.

Minimum two (3) years of accounts receivable experience.

Ability to read EOB's

Knowledge of medical terminology

Proficient in Microsoft Office

Extensive knowledge of ICD10 coding and medical office operating policies and procedures required.

Extensive knowledge of insurance reimbursement procedures and practices required.

Preferred Qualifications
Knowledge of Centricity Systems, Onco EMR, or EPIC Systems

CPC Certification

Bachelor's Degree with 3 years of experience working within a hematology/oncology setting.

Keywords: REGIONAL CANCER CARE ASSOCIATES LLC, Hackensack , Accounts Receivable Specialist 1 - Full Time, Other , Hackensack, New Jersey

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