Bilingual Accounts Receivable Specialist, - FlexStaff (Direct Hire)

Day shift, Monday to Friday, 8:30 AM - 5:30 PM
Work Location: In-person

The Accounts Receivable Specialist will assist in ensuring that the company receives payment for goods and services offered to clients. Responsibilities Include but are not limited to:

• Prepares, posts, verifies, and records customer payments and transactions related to accounts receivable.
• Investigates and resolves denied claims in a timely manner.
• Work and manage commercial and Medicaid claims from all aging buckets including posting, appeals, and ADRs.
• Download and review electronic and paper EOBs for denied claims and line-item denials.
• Identifies and reviews delinquent accounts and pursues collection as needed.
• Responsible for all follow-through efforts performed and documented in a timely manner within compliance.
• Coordinates medical record requests with the main office for appeal purposes.
• Communicate accurate patient and billing information to the Insurance carrier.
• Prepare weekly reports to review with management with updated status and communication.
• Reviews explanation of benefits and adjusts accounts according to contracted rates for accurate AR.
• Demonstrated computer proficiency with knowledge of Microsoft Office.
• Maintains the strictest confidentiality and adheres to all HIPAA guidelines/regulations.
• Performs other related duties as assigned.

Skills/Requirements:

• Strong knowledge of medical insurance, billing guidelines, and compliance.
• Knowledge of medical terminology, experience in orthotics and prosthetics preferred.
• Practice management software experience highly preferred- Waystar, OPIE, and Medflex experience a plus.
• Knowledge of how to navigate NY Medicaid and CT Medicaid portals.
• Knowledge of the ePaces portal is highly preferred.
• Experience working with billing/AR claims including NY Medicaid.
• Demonstrates professional and positive communication with interpersonal skills.
• Must be highly detail-oriented with the ability to handle multiple tasks.
• High attention to detail and ability to problem solve claim resolution.
• Experience in driving process improvement.
• Bi-lingual (Spanish), a plus.

Education and Experience:

• Must have at least 3 years experience
• High school graduate or equivalent required; Associate degree or equivalent preferred.
• Experience working in a medical practice/healthcare setting; at least 2 years preferred.
• Orthotic & Prosthetic field experience necessary, at least 2 years preferred.