Medical Accounts Receivable (A/R) Follow-Up Specialist-Hybrid

Hospice of the Western Reserve is now Reserve Care. Our new name reflects the full scope of care we provide while honoring nearly 50 years of trusted service. We continue to deliver expert hospice, palliative and grief support with the same compassionate team. When you join Reserve Care, you become part of a legacy that walks alongside patients, families and communities with guidance and meaningful support during life’s most important moments. JOIN US IN MAKING THE MOST OF EVERY DAY! Reserve Care operates in celebration of the individual worth of each life, we strive to relieve suffering, enhance comfort, promote quality of life, foster choice in end-of-life care and support effective grieving. WHY US? We believe that our success starts with our greatest asset: OUR EMPLOYEES! We live our shared core values in everything we do: COMPASSION. EXCELLENCE. EQUALITY. INTEGRITY. SERVICE. STEWARDSHIP. We have a passion for purpose driven work! Do you? JOIN OUR FAMILY! The Hospice Accounts Receivable (A/R) Coordinator plays a critical role in ensuring accurate and timely reimbursement for hospice services. This position is responsible for managing the full A/R lifecycle, including claim submission, payer follow-up, denial resolution, and cash reconciliation. The A/R Coordinator works closely with internal departments and external payers to investigate, resolve, and collect on outstanding accounts, while adhering to regulatory billing guidelines and payer-specific requirements. WHAT YOU WILL DO: Ensure Accounts are thoroughly worked before escalation or write-off consideration. Investigates and verifies patients’ medical insurance benefits when benefits change Review and confirm payments posted match contractual and expected reimbursement. Identify denial trends. Identify Rood causes of denials and recommend actions. Performs pre-billing functions according to established procedures Verifies completeness of claims and correct billing errors prior to submission. Follow-up on patient accounts per established procedures. Documents all follow-up on patient accounts in billing comments section in the electronic medical record. Prepares Billing Adjustments and Payment Adjustments according to established procedures. Maintains the Revenue Cycle Key Performance Indicators targets as established by the Chief Financial Officer. Interacts with patients/families regarding medical insurance benefits and reimbursement of services. Demonstrates effective Service Excellence skills according to agency standards. Works collaboratively with Revenue Cycle team members and other appropriate Hospice of the Western Reserve staff to ensure reimbursement of all services. Assists in the continued development of the verification, and reimbursement processes. SUCCESS CAPABILITIES: Three (3) or more years’ experience with A/R follow up and electronic medical records preferred. High school diploma required. Proficient in Microsoft Word, Excel, and Outlook. Ability to compose and type business correspondence. Knowledge of Medicare, Medicaid, Managed Care and Commercial reimbursement processed preferred. Strong analytical and problem-solving skills with the ability to investigate reimbursement issues and identify root causes of denials. Must be detail oriented and be able to work in a fast-paced environment. Must demonstrate strong customer service and communication skills. Flexibility to work both independently and in a team environment. DETAILS: Total Rewards Package to include Retirement, Health, Dental, Vision, voluntary benefits and Corporate Discounts Tuition Assistance Non-exempt role Technology Package Protocols in place for wellbeing during COVID-19 CONDITIONS OF EMPLOYMENT: Compliance to Annual Flu Shot Policy or ability to provide exemption documentation Ability to provide proof of eligibility to work in the United States. High level of integrity, ethics and professionalism. NOTE: The responsibilities of this position are described above, and they may be subject to change at any time due to reasonable accommodations or other reasons. Also, this description in no way states or implies that these are the only duties to be performed by the employee occupying this position. Applicants who may need reasonable accommodations to complete the application process may contact: Careers at Reserve Care 17876 St. Clair Ave. Cleveland, OH 44114 216.383.2222 or careers@hospicewr.org Reserve Care is an Equal Opportunity Employer - we recognize that diverse teams make the strongest teams, and we encourage people from all backgrounds to apply. Seniority Level