Bronx Nursing is seeking a dedicated and experienced Accounts Receivable (AR) / Biller to join our team and take charge of collecting outstanding payments from HMO companies, Medicaid, Medicare, and private insurers.
Key Responsibilities:
- Aggressively follow up on outstanding accounts receivable, focusing on HMO claims, denials, and appeals.
- Monitor and track unpaid claims, ensuring timely collection of overdue balances.
- Communicate with insurance providers (HMO, Medicaid, Medicare, and private payers) to resolve claim issues, payment delays, and denials.
- Investigate and dispute denied claims by submitting appeals and working with payers to ensure proper reimbursement.
- Generate and review AR reports to identify high-risk accounts and implement collection strategies.
- Ensure compliance with all billing regulations and payer policies.
- Collaborate with internal departments (finance, admissions, and case management) to expedite payment resolutions.
- Maintain accurate and detailed records of all collection activities, correspondence, and resolutions.
Qualifications:
- Proven experience in accounts receivable, billing, or collections in a healthcare, nursing home, or hospital setting (HMO billing experience preferred).
- Strong knowledge of Medicaid, Medicare, and HMO billing, claims processing, and appeals.
- Ability to analyze AR reports and identify patterns in non-payment or denials.
- Excellent negotiation and communication skills to resolve payment issues with payers.
- Proficiency in billing software relieable, EHR systems, and Microsoft Excel.
- Strong attention to detail and ability to work in a fast-paced, deadline-driven environment.
Job Type: Full-time
Pay: $75,000.00 - $85,000.00 per year
Benefits:
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
Experience:
- Accounting: 5 years (Required)
- Microsoft Excel: 3 years (Preferred)
Ability to Commute:
Ability to Relocate:
- Bronx, NY: Relocate before starting work (Required)
Work Location: In person
