BriteLife Recovery -
The Accounts Receivable Specialist, a key position in the Revenue Cycle, ensures all payments are posted according to our policy and procedure, ensuring electronic remittance advices are received according to schedule, investigating delays in file receipt; reconciling files with bank electronic funds transfers; working with payers to resolve any issues. The AR Specialist is also responsible for identifying payers that can offer ERA/EFT vs. paper checks on working with management to implement. Other duties as assigned such as patient invoicing and reconciliation of patient accounts.
Cash Posting -
o The AR Specialist will monitor daily cash deposits and report any delays in payment processing that may occur with the bank, finance or posting vendor.
o Works with the posting vendor to appropriately identify and allocate cash that is received without documentation.
o Facilitates resolution of clearing accounts.
o Communicates cash posting delays to leadership. Ensures timely processing of cash batches and electronic remits.
o Conducts monthly quality audits on cash posting to ensure compliance with contractual obligations and posting guidelines.
o Escalates issues and problems to management as appropriate.
o Identifies trends or pattern of persistent problems.
o Confirm reconciliation of AP to AR.
o Review of paper checks to determine if any paper checks can be converted to EFT/ERA
o Review EFT/ERA enrollment information and confirm there are no issues
o Ensure timing of files is followed based on banking and clearing house information
o Review bank statement to ensure there is no gap in posting vs monies received
o Run reports to review payments posted in CMD
o Assist with the provider enrollment of new ERA/EFT.
o Conforms to all applicable HIPAA, Billing Compliance and safety policies and guidelines
o Performs other job duties as required and assigned, but not limited to job functions within the area of payment posting.
o Invoices clients for patient responsibility balances and manage Patient AR and collections.
o Assist clients with any billing inquiries or payment matters.
o Prepare patient AR reports and collection efforts.
o Prepare financial reports as needed.
o Manage weekly/monthly paid reports
Knowledge of medical billing/collection practices required
Excellent organizational, management, and problem-solving skills.
Works well in environment with firm deadlines; results oriented.
Knowledge of finance and accounting aligned with collection principals and procedures.
Strong analytical skills required.
Knowledge of healthcare industry and the trends.