Home Health Collections Associate

The role

The Healthcare Medical Collections Associate manages dedicated accounts receivable for select payor organizations, external business, or clients. This role involves claim denial management, processing adjustments, and communicating accounts receivable status with internal customers.

What you will do

• Manage a dedicated accounts receivable for select payor organizations, external business or clients ensuring timely payment.
• Complete claim denial management functions to ensure timely follow-up with denied claims and complete root causes analysis.
• Process balance transfers, adjustment requests, refunds and corrected claims.
• Complete administrative appeals and escalation of outstanding claim issues with payor organizations.
• Communicate accounts receivable status with internal customers within service office locations.
• Coordinate requests for additional data or workflow between internal revenue cycle departments.
• Communicate and escalate accounts receivable trends with immediate supervisor, director and management teams.
• Review, document and communicate any claim processing or related changes initiated by payor organizations.
• Work within multiple practice management systems, claim clearinghouse solutions and payor websites.
• Ability to met/exceed established performance goals

Required qualifications

• Exemplifies characteristics of The BAYADA Way: compassion, excellence and reliability.
• Minimum of one (1) year experience with Healthcare collections/accounts receivable experience
• Must have collections experience
• Intermediate experience with Microsoft Excel
• Demonstrated record of strong interpersonal skills.
• Demonstrated record of goal achievement.
• Competence in basic PC skills required to perform job functions.
• Must be able to work Eastern Standard Time hours.

Nice to have

• Degree preferred (combination of education and experience may be used in lieu of degree)
• Experience with HCHB preferred
• Prior health care and home care experience is a plus

Benefits

• 401(k) with company match
• Paid time off, including holidays, vacation, and sick days
• Weekly pay with direct deposit
• Employee Assistance Program to support your well-being
• Career growth and advancement opportunities
• May be eligible for the Public Service Loan Forgiveness (PSLF) Program

About the company

BAYADA is a mission-driven, nonprofit Organization. It is a nationally respected, accredited, regulated, certified, and licensed home health care provider.