Cummins Behavioral Health Systems, Inc.is seeking to add a dedicated, creativeprofessionalto serve in the role ofAccounts Receivable Team Leaderat our administrative offices*inAvon, Indiana.*

Job Summary:

Under the general supervision of the Chief Financial Officer, the Accounts Receivable Team Leader is responsible for coordination of timely and accurate submission of all claim forms to third-party payers, including secondary billing, rebilling, UB 04 and HCFA 1500, and accompanying third-party log maintenance and completes billing process accurately and timely for a designated group of accounts, by payer classification or other method of assignment; answers inquiries related to that designated group of accounts. Coordinates all follow-up on accounts receivable and reports on monthly accounts receivable activity.

Essential Functions:

1. Coordinates the timely and accurate submission of all claim forms to third-party payers, including secondary billing, rebilling, UB 04 and HCFA 1500, and accompanying third-party log maintenance.
2. Completes billing process accurately and timely for a designated group of accounts, by payer classification or other method of assignment; answers inquiries related to that designated group of accounts.
3. Coordinates all follow-up on accounts receivable and reports on monthly accounts receivable activity. Analyzes and reports on accounts receivable activity and prioritizes accounts receivable follow-up for each Account Representative.
4. Research disputed charges and approve accounts recommended for formal collection action or write off consistent with policy.
5. Maintains fee schedule and coverage plan templates, sets up new procedures, programs, and coverage plans in the electronic health record.
6. Maintains internal controls over the accounts receivable and the cash receipts functions. Monitors contractual allowance posting and other allowance processing on accounts receivable.
7. Maintains a good working relationship with office staff members and others throughout the organization.
8. Organizes department according to policy, procedures and objectives while coordinating with related departments'consumer access, health information management, utilization review, and information systems.
9. Within areas of responsibility, ensure staff knowledge of and adherence to internal and external policies, procedures, ethical standards, laws, regulations, contract provisions, standards, accreditation requirements, and the organization's corporate compliance plan.
10. Assist with annual financial audit and various external payor audits as needed.

Additional Responsibilities:

1. Other duties may be assigned. Regular and reliable attendance is an essential function of the position.
2. Attend other interdepartmental meetings as assigned.

Desired Qualifications:

Education and/or Experience:

• Three to five year's experience in computerized medical billing, accounts receivable, coding and collections with two years in supervisory capacity preferred.
• Knowledge of third-party payers, billing requirements, and reimbursement methods.
• Experience with Microsoft Office.

Knowledge, Skills and Abilities:

• Excellent customer service and communication skills.
• Analytical judgment.
• Math skills.
• Thorough knowledge of billing requirements and reimbursement methodology required. Billing requirements include coding process, charge process, and managed care processing. Ability to work under high stress when overseeing staff with deadlines for processing account volume during peak periods.

As a proud recipient ofPlatinum level certification for Mental Health America's Bell Seal for Workplace Mental Health, Cummins Behavioral Health Systems puts mental health at the forefront of employee health and well-being.

Cumminsis one of the State's top-rated community behavioral health and addiction p oviders in Customer Satisfaction as recognized by theIndiana Division of Mental Health and Addiction.

Learn about the many rewards of a career with Cummins, apply today!

We are an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.

For more information, or to apply now, you must go to the website below. Please DO NOT email your resume to us as we only accept applications through our website.

https://cumminsbhs.hirecentric.com/jobs/231229-35332.html