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Accounts Receivable Team Leader

• • Avon Business Office 260

• Avon, IN, USA

• Full Time

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Cummins Behavioral Health Systems, Inc. is seeking to add a dedicated, creative professional to serve in the role of Accounts Receivable Team Leader at our administrative offices in Avon, Indiana. Job Summary: Under the general supervision of the Chief Financial Officer, the Accounts Receivable Team Leader is responsible for coordination of timely and accurate submission of all claim forms to third-party payers, including secondary billing, rebilling, UB 04 and HCFA 1500, and accompanying third-party log maintenance and completes billing process accurately and timely for a designated group of accounts, by payer classification or other method of assignment; answers inquiries related to that designated group of accounts. The Accounts Receivable Team Leader is responsible to maintaining the integrity of billing and collection activities including knowledge of, and compliance with applicable law, rules, and regulations. The position is responsible for completing routine internal payer contract reviews to ensure accurate contract reimbursement and works with payer representatives to resolve any contract variances. In addition, the Accounts Receivable Team Leader will work collaboratively with clinical leadership and the Chief Financial Officer to ensure the integrity of charge capture processes and coverage plan set-up. The Account Receivable Team Leader oversees the Accounts Receivable team to ensure that charges, cash receipts, and credits are processed accurately and in a timely manner. Coordinates with other individuals/departments to ensure that complete and accurate consumer financial information is maintained. Coordinates all follow-up on accounts receivable and reports on monthly accounts receivable activity. Essential Functions:

• Coordinates the timely and accurate submission of all claim forms to third-party payers, including secondary billing, rebilling, UB 04 and HCFA 1500, and accompanying third-party log maintenance.

• Completes billing process accurately and timely for a designated group of accounts, by payer classification or other method of assignment; answers inquiries related to that designated group of accounts.

• Coordinates all follow-up on accounts receivable and reports on monthly accounts receivable activity. Analyzes & reports on accounts receivable activity & prioritizes accounts receivable follow-up for each Account Representative.

• Research disputed charges and approve accounts recommended for formal collection action or write off consistent with policy.

• Maintains fee schedule and coverage plan templates, sets up new procedures, programs, and coverage plans in the electronic health record.

• Maintains internal controls over the accounts receivable and the cash receipts functions. Monitors contractual allowance posting and other allowance processing on accounts receivable.

• Maintains a good working relationship with office staff members and others throughout the organization.

• Organizes department according to policy, procedures and objectives while coordinating with related departments'consumer access, health information management, utilization review, and information systems.

• Within areas of responsibility, ensure staff knowledge of and adherence to internal and external policies, procedures, ethical standards, laws, regulations, contract provisions, standards, accreditation requirements, and the organization's corporate compliance plan.

• Assist with annual financial audit and various external payor audits as needed.

Additional Responsibilities:

• Other duties may be assigned. Regular and reliable attendance is an essential function of the position.

• Attend other interdepartmental meetings as assigned.

Desired Qualifications: Education and/or Experience:

• Three to five year's experience in computerized medical billing, accounts receivable, coding and collections with two years in supervisory capacity preferred.

• Knowledge of third-party payers, billing requirements, and reimbursement methods.

• Experience with Microsoft Office.

Knowledge, Skills & Abilities:

• Excellent customer service and communication skills.

• Analytical judgment.

• Math skills.

• Thorough knowledge of billing requirements and reimbursement methodology required. Billing requirements include coding process, charge process, and managed care processing. Ability to work under high stress when overseeing staff with deadlines for processing account volume during peak periods.

  As a proud recipient of Platinum level certification for Mental Health America's Bell Seal for Workplace Mental Health, Cummins Behavioral Health Systems puts mental health at the forefront of employee health and well-being.

  Cummins is one of the State's top-rated community behavioral health and addiction providers in Customer Satisfaction as recognized by the Indiana Division of Mental Health and Addiction.

  Learn about the many rewards of a career with Cummins, a pply today!

We are an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status. Cummins Behavioral Health Systems https://cumminsbhs.hirecentric.com