Accounts Receivable Specialist - CCHP
CharterCare Health Partners - Providence, RI

This job posting is no longer available on CharterCARE Health Partners. Find similar jobs: Account Receivable Specialist jobs - CharterCare Health Partners jobs

Summary: The Accounts Receivable Specialist is responsible for the follow-up and reimbursement of major third party payer claims. (i.e. Medicare, Medicaid, Blue Cross, UHC, NHP) They must possess a complete knowledge of major third party rules and regulations, spot trends and work with the appropriate departments/individuals to identify and implement effective solutions. Due to the complexity of major third party regulations, they must have a thorough working knowledge of coding rules that pertain to their specific payer. Specialists must have strong analytical, systems and a thorough understanding of contract limitations as it pertains to the life cycle of healthcare claims. Their duties require them to be logical, have a detail-oriented thought process with the ability to breakdown complex problems and identify root causes. With appropriate training and initiative they must eventually become more knowledgeable in their payers rules and regulations than the third party representatives they are contacting.

Education: College degree preferred, minimum of five years experience in major 3 rd Party claims follow-up in a Hospital Business Office.