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Accounts Receivable (AR) Specialist in Hollywood, FL at Avante

Date Posted: 9/12/2018

Job Snapshot

Job Description

Avante Group, Inc. is seeking an AR Specialist responsible for assigned facilities, team support, and team projects.

Essential Job Functions:

  • Understanding of Medicare, Medicaid, HMO Insurance, Co-Insurance claims;
  • Investigating and resolving denied claims in a timely manner;
  • Work and manage claims for all aging buckets including posting, appeals, medical record request and audits;
  • Identify and review aged accounts and pursuing collections;
  • Coordinates medical record requests with main office to expedite requests for insurance carriers;
  • Communicate accurate resident/patient and billing information to insurance carriers;
  • Prepare weekly reports to review with management with updated status and communication;
  • Reconciles resident/patient accounts upon receipt of payment from insurance carriers;
  • Reviews explanation of benefits and adjusts accounts according to contracted rates for accurate A/R;
  • Prepares Medicaid reimbursable bad debt;
  • Posting of ancillary charges;
  • Posting of approved bad debt;
  • All other duties as assigned.

This opening is for Mon - Fri, shift 8:30 AM - 5 PM. 

Job Requirements

Qualifications:

  • Must possess great organization skills
  • Must be able to pay attention to detail
  • Ability to problem solve
  • Must have mathematical aptitude, be computer literate, ability to use Word, Outlook, Excel and Internet applications.
  • Must be team player

Education / Experience

  • AA degree preferred;
  • Bookkeeping, Skilled Nursing Facility or Medical Office background/experience;
  • Practice management software experience highly preferred- Point Click Care experience a plus;
  • Strong knowledge of medical insurance, billing guidelines and compliance;
  • Experience working with billing/AR claims including working both commercial and non-commercial payors;
  • 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.

 

Avante Group, Inc.

4601 Sherdian St., Suite 500

Hollywood, FL 33021

 

Avante provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, Veterans' status, national origin, gender identity or expression, age, sexual orientation, disability, gender, genetic information or any other category protected by law.  In addition to federal requirements, Avante complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities.  This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. 

 

Avante expressly prohibits any form of workplace harassment based on race, color, religion, sex, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, Veterans' status or any other category protected by law.  Improper interference with the ability of Avante's employees to perform their job duties may result in discipline, up to and including, discharge.