Accounts Receivable Specialist Brown Emergency Medicine (Brown EM) is the academic emergency medicine physician practice plan of the Department of Emergency Medicine at the Alpert Medical School of Brown University. Brown EM provides emergency department staffing for Rhode Island Hospital, the only Level I trauma center in this region; Hasbro Children's Hospital, Rhode Island's only children's specialty hospital; The Miriam Hospital, a leading community teaching hospital and Newport Hospital, a community Magnet Hospital. Brown EM member physicians and providers treat over 250,000 patients per year at our 4 clinical sites, drawing patients from Rhode Island, Massachusetts and Connecticut.
As a non-profit foundation, Brown EM is committed to its mission and vision of academic and research support. Brown EM offers an excellent benefits package, including 85-90% employer-paid medical and dental, vision, employer-paid life insurance, long-term disability, paid time off, paid holidays and generous 401(k) retirement-plan. Brown EM is currently seeking a highly motivated and professional Accounts Receivable Specialist within our emergency medicine Billing department.
Under the general direction of the Billing Operations Manager, the Accounts Receivable Specialist is responsible to conduct independent review and analysis of all areas of Account Receivable. Other responsibilities include: Works with insurers to effectively resolve issues for claims over 30 days old to maximize reimbursement. Processes electronic billing and billing edits and payments.
Responsible for posting and processing denied claims. Provides follow-up on account receivable files. On a regular basis, audits the accuracy of randomly selected medical claims including diagnosis codes, insurance eligibility, and timeliness of filing.
Advises supervisor of findings and works with appropriate staff to resolve/correct any issues. Works with external auditors. Enters patient billing data information and related payments for all insurances into the practice management system.
Researches and responds to status of patient eligibility for hospital charges. Verifies insurance coverage for all third-party liability illnesses/injuries. Performs clerical functions including typing, filing, and maintaining related correspondences.
Notifies supervisor of any credentialing/re-credentialing issues that may arise. Responsible for answering phones for the Billing Department. Responds to inquiries and requests from all customers/patients and resolves as authorized.
Responsible for making billing deposits and providing courier services to bank if needed. Reviews delinquent accounts recommended for write-offs to ensure conformance to applicable collection policies. The qualifications for the position are: Must have a Health Claim Specialist Certificate, Registered Health Information Administrator (RHIA) or related certificate with a minimum of 2-4 years of related accounts receivable patient billing experience.
In lieu of certificate, a minimum of a High School Diploma or equivalent with at least 4-5 years of related billing experience. Knowledge of ICD-9 CM, CPT-4, ICD-10 coding and medical terminology is required. Must submit a background release form and demonstrate proof of being free from disqualifying information.
Excellent verbal communication/customer service skills required. Good computer/clerical skills are required. Mentors colleagues within scope of responsibility.
Successful candidate must submit to a background release form, demonstrate proof of being free from disqualifying information and must possess a driver's license and access to an insured vehicle as some transportation may be required. All requirements are subject to possible modification to reasonably accommodate individuals with disabilities. Some requirements may exclude individuals who pose a direct threat or significant risk to the health and safety of themselves and others.
Brown EM is an equal opportunity employer. We strive to provide a workplace free from harassment. For more information about Brown EM, please visit our website at www.brownem.org.