Check-in Specialist

Company: CARLE
Location: Champaign
Posted on: March 18, 2023

Job Description:

The Accounts Receivabe Representative 3 is proficient in Accounts Receivable Representative 2 responsibilities. In addition, serves as an expert resource for escalated account activities for multiple payer product lines. Represents Carle in external accounts receivable efforts (examples: court appearances, fair hearings, meetings with employers and insurance companies). Assists with mentoring, training and observing staff for quality assurance. Assists with creating training materials and process flows. Participates in projects. Involved in system testing and development. Builds and analyzes management summary reports. Serves as a liaison with third party vendors assisting with collection of accounts receivable.

• Must be able to perform essential job functions of Accounts Receivable Representative 2.
• Assists with developing policies and procedures, training materials and process flows including those related to system upgrades to ensure optimal performance.
• Mentors, trains, observes and educates staff to ensure quality and optimal staff performance.
• Facilitates maximization of revenue by ensuring that payer specific requirements are applied appropriately and claims are appealed as necessary.
• Assists with daily department flow; ensures appropriate staffing and optimal productivity levels.
• Handles escalated patient, provider and third party issues.
• Monitors dashboard for assigned payers. Analyzes AR and optimizes collection of accounts receivable.
• Responsible for system build, quality review and review of all user generated letters.
• Prepares and submits quarterly Medicare credit balance reports.
• Facilitates Medicare ADR, CERT and RAC audits as well as Compliance audits and Medicaid RAC audits.
• Acts as a liaison with external vendors and collection agencies.
• Assists in evaluation of billing opportunities related to new technology and/or services.
• Builds and analyzes management reports to identify patterns and trends and recommends opportunities for improvement.
• Participates in projects, system upgrades, process improvements and implementations.
• Conducts team meetings and provides direction to team members.
• Represents Carle in external venues such as court appearances, fair hearings, meeting with employers, attorneys, insurance companies, community events etc.

Keywords: CARLE, Champaign , Check-in Specialist, Other , Champaign, Illinois