Full-Time

Accounts Receivable Support Specialist

Wingspan Care Group

Wingspan Care Group

No salary listed

Shaker Heights, OH, USA

In Person

Must commute to the office five days per week.

Associate's

Category
Accounting (1)
Required Skills
Microsoft Office
Word/Pages/Docs
HIPAA
Excel/Numbers/Sheets
Microsoft Outlook
Requirements
  • An Associate’s degree in accounting, finance, healthcare administration, or a related field is required; alternatively, a high school diploma combined with four years of equivalent experience is required.
  • At least four years of experience in medical billing, accounts receivable, or revenue cycle management is required.
  • At least two years of experience with Medicaid, managed care organizations, or Aetna OhioRISE billing processes, including denials and cash posting, is required.
  • Working knowledge of medical billing, Current Procedural Terminology and International Classification of Diseases, 10th Revision coding, and insurance processes such as Explanation of Benefits and 835 transactions is required.
  • Proficiency in electronic health record systems such as Netsmart, billing applications, and Microsoft Office, including Excel, Word, and Outlook, is required.
  • The ability to exercise initiative and independent judgment, solve practical problems, handle non-standardized situations, and maintain high accuracy is required.
  • The ability to commute to the office five days per week for eight hours per day is required.
  • The ability to work under pressure and meet audit and month-end deadlines is required.
  • The role requires adherence to HIPAA, Ohio Medicaid, CMS, and agency fiscal and confidentiality regulations.
Responsibilities
  • Assist Accounts Receivable and Medical Billing Specialists with claims processing, unpaid-account follow-up, and unbilled-claim resolution.
  • Verify eligibility, update service authorizations, correct clinician documentation errors, and support accurate claim submissions.
  • Follow up on pending claims through payer portals and by phone to resolve payment delays.
  • Post zero-dollar electronic remittance advices and process checks, electronic funds transfers, and automated clearing house payments across multiple systems.
  • Reconcile daily payment batches to bank statements and report discrepancies to the AR Manager.
  • Update patient demographics, assist with credit card deposits, and process credit card payments for deductibles, copayments, and other open balances.
  • Research credit balances and patient accounts to identify refund eligibility and prepare supporting documentation and letters.
  • Run denial reports, prepare appeal data such as medical records and Explanation of Benefits documents, and log payer communications for appeal tracking.
  • Document denial trends and prepare training materials to help prevent denials.
  • Assist with paper invoice creation for school tuition, residential programs, and cost-based reimbursements.
  • Document AR workflows and policies, prepare meeting minutes, and track action items for revenue cycle meetings.
  • Run accounts receivable aging reports and log collection efforts for overdue non-Medicaid balances.
  • Pull audit selections, organize batch files and correspondence, and support internal and external audit readiness.
  • Prepare accounts receivable aging, payment, and denial reports for month-end close and reconcile data with Accounting for journal entries.
  • Provide backup coverage for AR, medical billing, cash application, and senior coordinator functions during absences or peak periods.
  • Collaborate with clinical staff to gather billing and appeal documentation and with IT to test AR systems.
  • Attend revenue cycle meetings, take minutes, and track action items for the AR Manager.
  • Participate in professional development, required meetings, special projects, and system enhancements while maintaining client privacy and ethical billing practices.
Desired Qualifications
  • Experience in behavioral health or healthcare billing is preferred.
  • Experience with multi-system reconciliation, such as Netsmart and Great Plains, and payer portals is highly desirable.
  • Prior experience with report preparation, workflow documentation, or audit support is preferred.
  • Certification in medical billing or coding, such as Certified Professional Coder or Certified Professional Biller, is preferred but not required.
Wingspan Care Group

Wingspan Care Group

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