CAN Community Health Looking for Insurance Account Receivable Coordinator- Hybrid/Remote position at Sarasota, FL Full Time

Description:

CAN Community Health one of the nation’s largest providers of HIV Services has an exciting opportunity for an Insurance Account Receivable Coordinator for our corporate headquarters in Sarasota, FL. This is a hybrid/remote position. We are looking for someone who is passionate about serving the needs of individuals impacted by HIV and other infectious diseases. You will become part of our professional team that drives home our Company’s Mission and Values. We offer good quality of life with an excellent schedule, competitive pay with a bonus plan, premiere benefits package with a retirement plan with a generous company matching contribution. We have received recognition in 2022, 2021, 2019, & 2018 NPT’s Best Non-Profit to Work for Award.

All new hires must provide proof of COVID-19 vaccination status.

CAN is a Drug-Free Workplace. All potential hires will be required to take and clear a pre-employment drug screen upon job offer.

You can find out more about us by visiting our website at www.cancommunityhealth.org. Apply Today!

Salary Range: $22.00 to $26.00 per hour based on education and work experience

Statement of Purpose: The Insurance A/R Coordinator is responsible for working on insurance accounts receivable and payment denials. Identifies and corrects errors and resubmits claims to insurance carriers. An experienced, professional familiar with medical insurance appeal and denial process. Composing letters of appeals-PPOs/HMOs/Government insurance plans. Extreme familiarity with appeals language and regulations- Working the accounts receivables- Addressing denied and underpaid EOBs- Investigating unpaid claims- Creating reports and spreadsheets for monthly reports to management. Good customer service and communication skills required.

Essential Responsibilities: Insurance Account Receivable Coordinator

1. Must have good knowledge of insurance companies both in and out of network billing.
2. A background in processing claims; review and preparation of claims for hard copy billing submission in the full revenue cycle.
3. Must be comfortable working with different insurances and have the ability to prioritize work and to handle multiple projects.
4. Thorough knowledge of medical terminology including CPT, ICD-10 and modifiers, billing requirements, and ability to interpret EOBs.
5. Must be responsible, organized, pleasant and punctual.
6. Be able to address and resolve claim issues and denials in a very timely manner-
7. Be very comfortable using computers and be able to learn our PM software.
8. Can work independently and as part of a team.
9. Identify problems with delinquencies, keeping accounts current and accurate & adjudication of denied claims- Performs other assigned duties.
10. The ability to take the proper course of action based on the denials received verbally and/or in writing.
11. Knowledge of insurance and claims submission & understands the Revenue Cycle Management process
12. Excellent communication (verbal, non-verbal, written) and phone skills.
13. Experience operating multiple software applications
14. Good interpersonal skills
15. Ability to multi-task and attention to detail.
16. Ability to problem solve for good outcomes
17. Belief that their efforts are an important piece to the patient experience.
18. Promote and practice CAN Community Health, Inc.’s mission and values, and adheres to its policies and procedures.

Secondary Tasks: Insurance Account Receivable Coordinator

1. Maintain confidentiality regarding patient/client, family, and employee in accordance with HIPAA, regulatory, professional and organizational standards.
2. Demonstrate courtesy and respect in all interpersonal relationships with CAN Community Health clients, staff, and visitors.
3. Cross train with others to increase understanding of CAN Community Health procedures.

Education/Professional Experience: Insurance Account Receivable Coordinator

1. High school degree or GED required, associates degree preferred or five years billing & collections experience preferred in a medical setting.
2. TB Testing
3. COVID Vaccinated
4. Annual safety training provided by CAN Community Health, Inc.

Requirements:

Knowledge, Skills and Abilities Required: Insurance Account Receivable Coordinator

1. Proficient in Microsoft Office Suite (i.e., Outlook, Word, Excel, etc.)
2. Experience and working knowledge with EMR (electronic medical record) system; practically eClinicalWorks(preferred not required).
3. Experience working with medical payers including Medicare, Medicaid, and commercial insurance.
4. Understanding of basic medical billing process including coding (CPT, HCPCS, ICD-10) and terminology.
5. Good written and verbal communication and interpersonal skills.
6. Ability to coordinate several tasks at one time.
7. Able to work with minimal direct supervision.
8. Strong interpersonal skills and the ability to work effectively with a diverse population.

CAN Required Trainings: Insurance Account Receivable Coordinator

• General Orientation HIV/AIDS Violence in the Workplace
• Sexual Harassment HIPAA Health Stream Courses (as assigned)

Physical Requirements: Insurance Account Receivable Coordinator

1. Neat, professional appearance.
2. Exerts up to 10 lbs. of force occasionally and/or a negligible amount of force frequently or constantly in lift, carry, push pull, or otherwise move objects, including the human body. Involves sitting most of the time but may involve walking or standing for brief periods of time.
3. Requires expressing or exchanging ideas by means of spoken word, visual and auditory acuity.

Work Environment: Insurance Account Receivable Coordinator

• This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, audio visual, telephones, photocopiers, filing cabinets and fax machines.

Other Duties: Insurance Account Receivable Coordinator

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties of responsibilities that are requires of an employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

Responsible To: Revenue Cycle Billing Manager

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CAN Community Health is an equal opportunity employer that is committed to diversity and values the ways in which we are different. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law

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