Cenevia - Health Business Services

Accounts Receivable

• Perform claims processing, including paper and electronic claims
• Review and manage clearinghouse-rejected claims
• Manage and follow up on client-returned claims
• Process payments, including daily balancing and manual/electronic payment posting
• Manage collections and accounts receivable follow-up
• Navigate insurance websites and maintain login access
• Review provider participation status
• Process patient statements
• Process refunds, small balance, and bad debt adjustments
• Manage claim denials and resubmit denied Medicare Part A claims through the NGS Fiscal Intermediary Shared System
• Submit and follow up on eClinicalWorks and CCNV IT support tickets
• Communicate account issues to clients and team leads
• Respond to team and client inquiries timely and thoroughly
• Make patient phone calls and manage interpretive services
• Participate in continued education and internal training
• Complete special projects as assigned
• Review and follow up on accounts receivable management reports and department goals/KPIs
• Monitor common claim processing, denials, and department goals/KPIs
• Reassign duties during absences in coordination with the client/team lead supervisor

Explore Revenue Cycle Management Specialist – AR Focus at Cenevia - Health Business Services. Review requirements and application details.

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Revenue Cycle Management Specialist – AR Focus