ACCOUNTS RECEIVABLE ACCOUNTANT

Reports directly to the Controller and ADA: · Supervises Accounts Receivable Clerk. · Follows up on all denied and rejected claims. · Reviews difficult to resolve denials and rejections from insurance plans with Controller within one week of their receipt. · Investigates cause(s) of denials and rejections in accordance with Controller’s instructions. · Contacts insurance plans to positively resolve issues related to denials and rejections, documents name of insurance plan representative(s) to whom spoken and the reference number of the issue attempted to be resolved during that phone call. · Positively resolves all denials and rejections. · Insures that all changes in authorizations are updated and that the correct number of hours are billed. · Compares information, such as procedure code/diagnosis code, rates, expiration date, number of hours authorized on authorizations from insurance plan to clients’ accounts in HCPlus. · Informs Controller/ADA of any discrepancies. · Analyzes MCO/MLTC accounts receivable and investigate receivables open for more than 60 days. Rebills, if necessary, before receivables becomes 90 days old. Bring to the Controller/ADA attention open receivables less than $1 to determine course of action. · Prepares detailed accounts receivable report on a monthly basis. · Investigates rejection report from MD Online Clearing House. Compares clients’ information with information on authorizations and rebill, as necessary. · Monitors and analyzes MMIS reporting system for HRA cases. · Reviews and approves all MCO and MLTC billing with the Bookkeeping Supervisor, as required. · Completes all paper rebilling for all rejected and denied claims on time and insures that it is correct and complete. · Assists the ADA with the preparation of required audit schedules and documentation. · In the absence of the Bookkeeper Coordinator, prepares monthly DFTA voucher and submits it to ADA prior to the 15th of each month. · Serves as Supervising Bookkeeper in absence of that staff member. · Prepares spreadsheets. · Other tasks as assigned. · Prepares special projects as assigned. Reports directly to the Program Director: · Assists Personnel Specialist Supervisor in insuring that the Personnel Specialists print EPaces Medicaid eligibility for their respective MCO, MLTC and HRA caseloads on the 1st and 15th of each month. · Checks printouts of EPaces on the 1st and 15th of each month. · Prepares spreadsheet of all EPaces discrepancies and submits it to the Program Director and Personnel Specialist Supervisor. · Completes Client Referrals Spreadsheet on the 1st and 15th of each month by comparing EPaces for the current period to the HCPlus for the prior period. · Assists the Personnel Specialist Supervisor in following up on and achieving positive resolutsion regarding EPaces discrepancies. 2 Years of Accounting or Accounts Receivables experience required specifically on the homecare billing and collections of MCO/MLTC receivables. ' Benefit Conditions: • Only full-time employees eligible Typical end time: • 5PM Typical start time: • 9AM Work Remotely • No Job Type: Full-time Pay: $65,000.00 per year Benefits: • 401(k) • 401(k) matching • Disability insurance • Health insurance • Life insurance • Paid time off Schedule: • Monday to Friday Work Location: In person