Accounts Receivable Director

JOB SUMMARY: The Accounts Receivable Director is responsible for the overall processing of all charges and collections of accounts receivables to include all 3rd party billing to 3rd party payers for all facilities.
Also responsible for ensuring that all billing codes for various 3rd party payers are current and all employees and supervisors are kept informed on any procedural or coding changes.
ESSENTIAL FUNCTIONS: • Develop and implement accounts receivable and insurance policies and procedures that will be consistently followed at all health centers.
These policies should be designed to comply with the Accounts Receivable computer system and policies.
• Schedule work so that transactions are entered on a timely basis keeping billing and posting current.
• Insure that all claims are processed on a timely basis to insure claims are printed and filed at least weekly.
• Reviews, approves, and processes requests for refunds to the Chief Financial Officer.
• Monitors timeliness of payments and refers delinquencies to credit and collections.
• Routinely check patient accounts for keying errors and insure that other personnel are keying information correctly.
• Ensure that timely follow-up is routinely performed on all rejected claims and that claims are refiled before the time limit is up.
• Print all appropriate accounts receivable and insurance reports for working on a monthly or as needed basis.
• Supervise orderly and timely filing and storage of all accounts receivable documents and reports so that they are properly labeled and easily accessible.
• Coordinate collection of payments from outside agencies assisting patients with medical care.
• Responsible for providing patients and/or outside agencies with printout and billing statements upon request.
• Respond to inquiries from patients and outside agencies regarding billing procedures.
• Responsible for routinely printing and working the unapplied payment report to insure payments are applied to the correct visits.
• Maintain and update provider number files for external payers, i.
e.
Medicare, Medicaid, BCBS on all new and existing providers.
• Responsible for ordering office supplies for insurance department as needed from Central Supply.
• Responsible for timely completion of Employee Performance Evaluations for Insurance Clerks.
• Perform other duties as assigned by Chief Financial Officer.
EDUCATION, TRAINING AND EXPERIENCE: Requires two (2) yea.
rs of accounting course work at an accredited college or a least five (5) years experience in billing and collecting medical accounts receivables.
• Working knowledge of automated posting and balancing procedures.
• Insurance experience in medical terminology experience in ICD-9 and CPT coding, certification preferred.
• Working knowledge of basic medical terminology and coding procedures.
• Working knowledge of computer software programs: i.
e.
Microsoft or Excel are examples.
• Requires previous supervisory experience.
PHYSICAL REQUIREMENTS: Combination of sitting, standing, walking, light lifting, bending, speaking, and listening on regular basis.
KNOWLEDGE, SKILLS, AND ABILITIES: • Must be able to read, write, speak, and understand the English language.
• Must be of good report, responsible, universally discreet, professional in mannerisms and confidentiality, demonstrate initiative, and function in the best interest of HSI.
• Ability to deal effectively with individuals from diverse backgrounds and cultures.