Accounts Receivable Specialist - Remote

Since 2005, Crossroads has been at the forefront of treating patients with opioid use disorder. Crossroads is a family of professionals dedicated to providing the most accessible, highest quality, evidence-based medication assisted treatment (MAT) options to combat the growing opioid epidemic and helping people with opioid use disorder start their path to recovery. This comprehensive approach to treatment, the gold standard in care for opioid use disorder, has been shown to prevent more deaths from overdose and lead to long-term recovery. We are committed to bringing critical services to communities across the U.S. to improve access to treatment for over 26,500 patients. Our clinics are all outpatient and office-based, with clinics in Georgia, Kentucky, New Jersey, North and South Carolina, Pennsylvania, Tennessee, Texas, and Virginia. As an equal opportunity employer, we celebrate diversity and are committed to an inclusive environment for all employees and patients.

• Responsible for working unpaid claims in EMR systems timely and accurately.

• Continual follow up with payors on open balances to ensure that payment is prompt and accurate.

• Correction and resubmission of claims in EMR system and/or clearinghouse.

• Timely, valid, and well documented adjustment submission (must be approved by management prior to processing).

• Research unpaid claims using various methods including payor phone calls, web portals, and written guidelines.

• Maintain clear, concise, and up-to-date documentation regarding status of accounts.

• Proper communication and documentation of issues found while completing claim follow up.

• Identify billing issues (codes/modifiers/etc.) and communicate to the appropriate staff to ensure future clean claims.

• Maintain daily productivity level as discussed with department management.

• Understands and adheres to state and federal regulations and system policies regarding compliance, HIPAA, integrity, and ethical billing practices.

• Responsible for daily reporting of key performance indicators through various reporting tools.

• Assist with providing training and guidance to other team members.

• Assist with a variety of projects and perform other duties as assigned.

• Productivity will be monitored based on follow up of 50 claims per day minimum.

• Analysts will be responsible for self-reporting at the end of each business day

• Productivity will be verified using User Performance reporting in Waystar (OTP) and by reviewing Analysts’ spreadsheets filtered by date worked.

• Must have had at least 3 years accounts receivable experience in a physician office setting.

• General Knowledge of HCPCS, CPT-4 and ICD-10 coding and/or medical terminology.

• Familiar with multiple payer requirements (including Medicaid, Medicare, and/or commercial insurance follow up) and regulations for claims processing.

• Research and analysis of unpaid and denied claims including payor communication, resubmissions, and appeals.

• Must have a High School Diploma/GED.

Required schedule is Monday through Friday from 9:00 AM to 5:00 PM.

Please note EST preferred.

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• Have a daily impact on many lives.

• Excellent training if you are new to this field.

• Mileage reimbursement (if applicable) Crossroads matches the current IRS mileage reimbursement rate.

• Community events that promotes belonging and education. Includes but not limited to community cook outs, various fairs related to addiction treatment and outreach, parades, addiction awareness for schools, and holiday events.

• Opportunity to save lives everyday!

• Medical, Dental, and Vision Insurance

• PTO

• Variety of 401K options including a match program with no vesture period

• Annual Continuing Education Allowance (in related field)

• Life Insurance

• Short/Long Term Disability

• Paid maternity/paternity leave

• Mental Health day

• Calm subscription for all employees