Overview
This temporary AR Collection Specialist role involves managing and reviewing outstanding accounts receivable balances with a focus on Managed Care and Insurance, Coinsurance, Medicaid, and Hospice next level appeals and collections.
Responsibilities
- Review outstanding accounts on aging reports to identify accounts for collections
- Work outstanding claims for next level appeals and collections
- Respond to provider inquiries and make collection calls as needed
- Ensure billing accuracy, completeness, and compliance with State and Federal regulations
- Coordinate third-party billing with nursing facility personnel as necessary
- Communicate and collaborate with fiscal intermediaries, state officials, and insurance companies
- Compile and prepare data and reports as required
- Strive to meet monthly collection goals
- Ensure compliance with organizational policies and financial management systems
- Perform other duties as assigned by AR Manager, Director of AR, or CFO
Requirements
- Experience with Medicaid billing within Texas
- Prior skilled nursing facility billing experience required
- Understanding of UB04, ICD10, and insurance portals
- Strong knowledge of billing software (MyUnity/PCC preferred)
- High school diploma required; college degree or equivalent advanced courses preferred
- Ability to multitask, meet deadlines, and prioritize workload
- Organized, detail-oriented, self-motivated with good interpersonal and communication skills
Location