BASIC FUNCTION: Ensure all methods are utilized to ensure accuracy when sending accounts receivable claims to providers through detailed review of all claims. Utilize appropriate billing methods, electronic, paper, etc, based on each provider's requirement, review for accuracy prior to submitting, adhere to ethical billing procedures at all times.. ComTrans is a safety sensitive company Job description(s) are subject to change based on business necessity EMPLOYEE STATUS: Regular: Part-time; $15.00 hourly / non-exempt position REQUIREMENTS: Education: High School Graduate or equivalent with post High School level courses, Associates Degree preferred. Experience: Two years of direct billing One year electronic claims processing/filing Knowledgeable in the use of ClaimTrak System preferred Processing of Medicaid claims a plus as well as Title 19 Understanding of Behavioral Health Services in Arizona Processing eligibility status Age: All ComTrans employees must be at least 18 years old, all driving positions are required to be at least 21 years old as required by insurance. Exceptions may be made for non-driving positions on a case-by-case basis and dependent upon the position and its responsibilities.
Licensing/Registration/Certification: Valid AZ driver's license Approved by our insurance company as a driver Company Provided Training/Certifications Have or be able to obtain a level one fingerprint clearance card First Aid/CPR Crisis Prevention and Intervention Complete ComTrans Driver Certification Training Program.
Skills, Knowledge and Abilities: Communicate effectively in English, both verbally and in writing. Understanding of high level of math Detail orientated and highly accurate Be well organized and efficient. Work independently within a team context. Be a strong team player. Understand customer service internally and externally. Use sound judgment in making decisions and solving problems. Utilize time management skills - prioritizing and planning. Maintain a high level of confidentiality. Be able to de-escalate situations effectively. Utilize proper communication skills. Knowledgeable with billing requirements of Medicaid and other contracts as required. Have the ability to perform services in a professional and businesslike manner and to the highest standard of professional conduct. Knowledgeable with accounting software such as QuickBooks. Above average understanding and able to utilize Microsoft Office Products
Accounts Receivable Specialist: The tasks listed below are representative of duties performed in the Accounts Receivable Department. Tasks are assigned to employees and are at the discretion of the Director of Accounts Receivable. Follow through on billing procedures for paper and electronic billing forms. Process claims timely and as directed and per contractual requirements. Review, verify and ensure accuracy on any/all reports and statements used in the process of billing prior to generating a final claim. Record payments and Explanation of Benefits Research outstanding balances; identify issues through communication with providers and resolve issues. Reviews denied claims, research, correct and resubmit timely according to contractual requirements. Maintain detailed records as required. Interact with staff, clients, payers, and Agencies to answer questions, obtain information and resolve issues. Monitor aging reports and take such steps as necessary to guarantee and obtain payment of claims. Participate in take-back, overpayment and refund process. Maintain a positive, professional working relationship with department staff Provide exceptional and professional customer service to internal and external customers. Continually improve customer service through quick responses to issues/questions, improve accuracy and respond quickly to all voice mails, e-mails or other methods of communication. Always be professional, responsive and sensitive to all complaints. When necessary, include immediate Supervisor/Manager to assist with resolving/researching issues. Appraise immediate Supervisor/Manager of all complaints Be creative regarding efficiencies and streamlining processes, discuss changes with Supervisor/Manager. Assist with month-end closing as required. Monitor customer account details regarding non-payments, notify appropriate staff to assist in the resolution of payment (Contracts, Manager, etc) Participate in the training of new staff members. Maintain detailed notes regarding payment of claims. Assist in the creation of manuals and protocols. Verify client insurance eligibility as directed and required. Resolve discrepancies in accounting records as required. Identify system issues/problems and communicate with Director. Create and maintain channels of communication to obtain information necessary to perform job tasks (with clients, payers, staff, providers) Ensure prior authorizations are documented and entered appropriately for special contract circumstances and requirements. Work with all department staff to resolve denied claims Other duties/special projects as identified and required.
ComTrans, Inc. is proud to be an affirmative action / equal opportunity employer. All qualified applicants will receive consideration without regard to race, creed, gender, marital status, sexual orientation, citizenship status, color, religion, national origin, age, disability, veteran status, or any other status protected under local, state or federal laws.