The MENTOR Network Accounts Receivable Collections Specialist in Lawrence, Massachusetts
The MENTOR Network is seeking a Accounts Receivable Collections Specialist to join our Finance Shared Services team!
Accounts Receivable Collections Specialist Do you have experience in Accounts Receivable/Collections and a desire to work for a company that positively impacts the lives of others? In the AR Collections Specialist role, you will contribute to the company’s commitment to serve others by sending claims to the payer in a timely and accurate manner.
Review and work in Design Web Format (DWF) for tasks with follow-up dates that are set to expire on that day and for tasks without a payer response once past 30 days from billing
Work credit balances on the aging and overpayment account and follow the credit balance procedure for resolution
Prepare appeal packet as required by payer, scan and save documentation to be sent, and update DWF with notes and a follow-up date
Update collection procedures as necessary
Review and work denials in workflow system, payer portal, and/or clearinghouse portal daily
Follow-up with Field on updates to items assigned to them that are past follow-up date
Update DWF with clear concise notes as claims are worked
Review unapplied cash log for any items that can be applied and work with cash team to resolve
Complete necessary forms and provide appropriate support for refunds, cash moves, sales adjustments, and transfer of liability
Ensure internal control compliance with all assigned areas and other audit requirements
Maintain an effective control environment for the accounting operations
High school diploma or equivalent required; Associate or Bachelor's degree in a finance-related field preferred
2-3 years of experience with Medical Collections in a high-volume environment preferred Knowledge of ICD-10 diagnosis codes, CPT medical service codes, UB-04, and HCFA-1500 forms
Strong understanding of medical collections compliance, Medicare, Medicaid, Medicaid managed care, Commercial, Workers Comp, and Auto-no-fault payer types
Self-motivated, detail-oriented, and highly organized with the ability to multi-task
Excellent communication skills, analytical skills, and the ability to collect information from multiple sources
Effectively use Microsoft Office
Why Join Us?
Full compensation/benefits package for employees working 30+ hours/week
401(k) with company match
Paid time off, holiday pay, annual bonus plan
Complex work adding value to the organization’s mission alongside a great team of coworkers
Enjoy job security with nationwide career development and advancement opportunities
EOE/AAE/ADA We have meaningful work for you – come join our team – Apply Today!
The MENTOR Network is a national network of local health and human services providers offering an array of quality, community-based services to adults and children with intellectual and developmental disabilities, brain and spinal cord injuries, and to youth with emotional, behavioral and medically complex challenges, as well as their families; and to elders in need of support. At The MENTOR Network, our core values—Integrity, Respect, Inclusion & Growth—and the behaviors that define them, guide how we interact with each other and how we approach our work. With Corporate operations located in the Boston Seaport, Lawrence, Massachusetts and Edina, Minnesota, we strive to support our 32,000 employees serving 30,000 individuals in 37 states. As an organization of people serving people, positive and productive relationships are vital to the work we do.