Accounts Receivable Third Party Billing Lead

North Suffolk Mental Health Association
US - Massachusetts - Chelsea
June 28, 2024

NSCS is looking for a Team Leader to join our Accounts Receivable team! The Team Leader manages the billing and collection of third party insurances for Mental Health and Early Intervention services. They monitor and ensure completion of workload for the billing, auditing and collection of all third party insurance claims and the application of private and insurance payments from clients and third party insurance payors.

What you'll do:

Ensure that all billing, cash posting and cash reconciliation is submitted to insurance payors by scheduled deadlines.
Create and run reports as needed for, Ehana Billing Import, Revenue, AR Meetings, Audit and UFR Reporting.
Assist AR Department staff in the collection of difficult claims by calling claim managers of insurance companies and sending appeals. Evaluate collection problems and report outstanding issues to the Director.
Provide training and support to the billing personnel in areas of billing, collection and cash posting.
Create and generate AR Plus / Ehana/ Excel reports upon request from Senior Management, CFO and AR Director.
Maintain and update Ehana and AR Plus system to accommodate new and existing cost centers, programs, staff numbers, pay sources, rates, procedure codes, service codes, locations and billing forms.
Ensure that all status 13 reports are run weekly, faxed to clinics and corrections made timely to effect next billing cycle.
Ensure all clinician edit sheet and insurance changes are corrected timely to effect accurate billing.
Ensure the timely submission of the weekly uninsured report to Senior Managers and Executive Team.
Coordinate the year end audit functions of the department and the audit selection process.

What you'll need:

Education:
Associate's degree in Business Administration or closely related field required. Three years of experience can be substituted for this requirement.
Experience:
Two years experience within a healthcare accounts receivable environment with responsibility for the functions that include:
admitting/registration, third party insurance benefits verification, billing, pre-authorization and claim processing, cash control, patient financial relations and collections.

Competitive & Comprehensive Benefits:

Paid Time Off - Two weeks' Vacation per year (three weeks after 1 year of service), 12 Sick Days per year, and 11 Paid Holidays per year
Eligible employer for the PSLF program
North Suffolk qualifies as an H-1B Cap-Exempt employer (for eligible positions)
North Suffolk offers visa and permanent resident card support to active employees
Health & Dental Insurance, with generous employer contribution
Employer Paid Life Insurance
403 (b) Retirement Plan with employer matching
Voluntary Short and Long Term Disability Insurance
Medical & Dependent Care Flexible Spending Accounts
Access to Credit Union Banking
Access to State Tuition Remission Program (Worksite Specific)
Employee Referral Bonus Program
Discounted Movie Tickets
Comprehensive Training Program
Internal Advancement Opportunities

Read the full job description and apply online on the recuiter's web-site

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