OUR MISSION AND PERFORMANCE EXPECTATIONS

The MENTOR Network is a mission-based organization dedicated to providing high quality services to those we serve. Therefore, to deliver on our mission, The Network expects every employee to perform his or her job first and foremost in accordance with the Company’s mission.

SUMMARY

The AR Collections Associate is responsible for following up in a timely fashion on claims that have been paid incorrectly or have not paid at all. They are responsible for communicating with the field and their supervisor any issues preventing a claim from being sent to the payer. They are also responsible for sending claims to the payer in a timely and accurate manner.

ESSENTIAL JOB FUNCTIONS

To perform this job successfully, an individual must be able to satisfactorily perform each essential function listed below:

Reviews and works denials in workflow system daily
Reviews and works denials in payer portal and/or clearinghouse portal daily
Reviews and works in DWF for tasks with follow-up dates that are set to expire on that day
Reviews and works in DWF for tasks without a payer response once past 30 days from billing
Follows-up with Field on updates to items assigned to them that are past follow-up date
Updates DWF with clear concise notes as claims are worked
Notifies Field of denials that require their attention
Notifies biller when claims can be electronically rebilled
Sends out paper or complete web portal billing once any necessary corrections have been made
Communicates with Field Finance and SSC Management on issues with collections
Reviews unapplied cash log for any items that can be applied and work with cash team to resolve
Works credit balances on the aging and overpayment account and follow the credit balance procedure for resolution
Completes necessary forms and provides appropriate support for:

Refunds
Cash move
Sales adjustments
Transfer of Liability

Ensures internal control compliance with all assigned areas and other audit requirements
Assists in the onboarding of new hires by providing required training when necessary
Embraces concept mentoring by actively participating in team meetings and fostering an environment in which team members proactively collaborate with one another
Proactively supports management as well as the objectives and goals of the department
Supports special projects, mission critical initiatives and performs other duties as assigned by the Supervisor
Ensures Sarbanes Oxley compliance with all assigned areas and other audit requirements.
Responsible for the maintenance of an effective control environment under SOX 404 for the accounting operations he or she oversees. This includes both key and non-key controls and extends to the timely updating and modification of control design where necessary and the oversight of control remediation activities should exceptions be encountered in testing.
System testing
Performs other related duties and activities as required

SUPERVISORY RESPONSIBILITIES

None Required

Minimum Knowledge and Skills required by the Job

The requirements listed below are representative of the knowledge, skill, and/or abilities required to perform the job:

Education and Experience:

High school diploma or equivalent
No experience in Medical Collections necessary

Certificates, Licenses, and Registrations:

None required.

Other Skills and Abilities:

Must be self-motivated and detail oriented
Must have excellent communication skills
Must be highly organized with ability to multi-task
Must have analytical skills and the ability to collect information from different sources
Effectively use Microsoft Office (Word, Excel, PowerPoint, Outlook, etc.)

Other Requirements:

Travel as needed

Physical Requirements:

Sedentary work. Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.

Sevita

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AR Collections Associate