Senior Accounts Receivable Specialist

Job Description

Job Description

SERV, a well-established leader in behavioral healthcare in New Jersey, supports people with mental illness and / or intellectual / developmental disabilities as they achieve greater independence and life satisfaction through a wide range of services.

JOB SUMMARY :

Reporting to the Billing Manager, the Senior Accounts Receivable Specialist will be responsible for billing and submitting claims and handling escalated billing and collection issues. The Senior Accounts receivable specialist serves as a subject matter expert in complex accounts receivable processes including denied and aging claims and provides training and guidance to the Accounts Receivable staff and assists with onboarding new staff member.

RESPONSIBILITIES :

• Prepares and submits claims to insurance companies for behavioral health services.
• Responsible for both Medicaid FFS (NJMAPPS) and claims submission through the current E.H.R system.
• Reviews and resubmits denied or rejected claims to ensure timely reimbursement.
• Ensures all claims are coded accurately and comply with the payer’s requirements.
• Monitors aging accounts receivable to identify overdue accounts.
• Follows up on unpaid claims and resolve any issues causing delay.
• Implements strategies to reduce the aging of accounts receivable and improve cash flow
• Runs weekly Accounts Receivable reports to identify claims requiring follow-up, including held and denied claims.
• Proactively researches unresolved claims and follow up with program staff and insurers within the standard billing cycle timeframe.
• Identifies corrected claims and process all claim appeals.
• Ensures secondary billing is accurate and timely, when applicable.
• Reviews processed claims for adjustments or write-offs.
• Reviews Explanation of Benefits to ensure payment accuracy based on active payer status.
• Assists with the payment posting process when needed.
• Ensures timely batch creation and processing.
• Sets up and manages automatic billing schedules.
• Recommends strategies to reduce denial rates and improve reimbursement processes.
• Proactively identifies issues that prevent denials for timely filing.
• Follows up and escalates claims as outlined in the claim’s procedures and processes.
• Assists with front end revenue team (outpatient front desk), including training, supervision, and in-office tasks in Clifton, NJ on an as-needed basis.
• Other duties as assigned or as necessary to meet organizational or departmental objectives.

QUALIFICATIONS & SKILLS :

REQUIRED LICENSES & EXPERIENCE :

SALARY :

EEO STATEMENT :

We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to age, race, color, religion, sex, national origin, ancestry, marital status, affectional or sexual orientation, gender identity or expression, disability, veteran status, or any other characteristic protected by law.

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