Accounts Receivable and Medical Billing Specialist

Shaker Heights, OH
Full Time
Finance
Experienced
Wingspan Care Group is a nonprofit administrative and management organization that provides a united, community-based network of services so member agencies can focus on mission-related goals. Our innovative model is designed to promote sustainability and advancement among its partner agencies by streamlining operations and eliminating redundancies – resulting in improvements to the delivery of direct service operation.

POSITION SUMMARY:
Maintains accounts receivable records and processes invoice transactions for Medicaid and other Insurance payors and performs necessary follow up efforts to secure payment for services delivered.

ESSENTIAL DUTIES:
  • Maintains the sponsor file in the Agency Accounts Receivable System (HSIS) to insure proper billing to client payor sources.
  • Performs collection activities to follow-up on unpaid payor transactions and researches discrepancies.
  • Confers with private and public insurance companies by telephone in attempt to determine reason for overdue payment, reviewing terms of contracts, services delivered, and authorizations with payor.
  • Notifies direct program staff regarding client eligibility status.
  • Updates service authorizations for clients in accordance with instructions from insurance companies.
  • Processes and delivers invoice copies for payors.
  • Processes daily credit card deposits.
  • Researches and processes customer claims of invoice payment.
  • Research and process charge backs, returns and bad checks.
  • Answer accounts receivable phone inquiries and follows up.
  • Calls or maintains correspondence with customers and funders as necessary.
  • Attends scheduled staff meetings, supervision, and on-going training.
  • Contributes to the development and maintenance of the Agency’s systems through the timely completion of assigned documentation in accordance with applicable fiscal, legal, licensing and accreditation regulations and standards.
QUALIFICATIONS:
  • Associates Degree or 3-5 years related experience or equivalent combination of education and experience
  • 3-5 years related experience preferred

Why Work for Us: We value our employees and their commitment to our mission and offer competitive total rewards (benefits and compensation) options to our valued employees and their families, including domestic partners. Our rich options include:

  • Dental, vision and medical insurance

  • Defined benefit pension plan

  • 403(b) plan

  • Life insurance

  • Paid long-term disability

  • Generous paid time off and holidays

    #WCG-ADM-1 #LIWCG

 

About us: Wingspan Care Group is a nonprofit administrative and management organization that provides a united, community-based network of services so member agencies can focus on mission-related goals. Our innovative model is designed to promote sustainability and advancement among its partner agencies by streamlining operations and eliminating redundancies – resulting in improvements to the delivery of direct service operations.

Why Work for Us: We value our employees and their commitment to our mission and offer competitive total rewards (benefits and compensation) options to our valued employees and their families, including domestic partners. Our rich options include:

  • Four weeks of paid vacation, twelve paid sick days, ten paid legal holidays, and four religious holidays*
  • Full benefits-eligible, including a zero-cost health plan option, dental, and vision insurance
  • Retirement matching program towards our defined pension

*Please know that those accruals are based on 40 hours a week, anything below that amount and the days will be prorated accordingly

Wingspan Care Group (“Wingspan”) is the not-for-profit parent company of Applewood Centers, Inc., Bellefaire Jewish Children’s Bureau, Bluestone Child & Adolescent Psychiatric Hospital, and Lifeworks. The mission of Wingspan is to provide organizational efficiencies at the operational, administrative, and fiscal levels for its subsidiary agencies so that they may focus on their respective missions. Wingspan is an Equal Opportunity Employer. Wingspan’s policy is not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (40 and over), disability, military status, genetic information, or any other basis protected by applicable federal, state, or local laws. Wingspan also prohibits harassment of applicants or employees based on any of these protected categories.

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