Accounts Receivable Specialist

Description

Sangre de Cristo Community Care is looking for a Full Time Accounts Receivable Specialist to join our dynamic team in Pueblo, CO. Sangre de Cristo Community Care is the Southern Colorado leader in enhancing the quality of life and maintaining the integrity of individuals and their families in need of supportive or end-of-life services by offering symptom management, support, comfort, and compassion.

What We Offer:

· Competitive Salary

· Two medical plans

· Health Savings Account with employer funding of $1,000 for Single and $2000 for family

· Dental and vision insurance

· All benefits effective the first day of the month following hire date

· Generous Paid Time Off accrual

· Six paid holidays and two additional floating holidays

· 403 (b) Retirement Plan with 100% vested upon entry and an employer match up to 4%

· Company paid Life and AD&D insurance

· Solutions to life’s common hurdles through a free employee assistance program

· Tuition reimbursement

· On-Demand Pay

· Career & Logo wear

This is a Full Time Benefited position. Monday - Friday, 8-5

Duties and responsibilities

Responsibilities of the position include, but are not limited to, the following:

Accounts Receivable & Collections:

· Post payments, adjustments, and write-offs accurately in the financial system.

· Reconcile accounts and investigate discrepancies between expected and received payments.

· Follow up on outstanding balances, including insurance and patient balances, to ensure timely collections.

· Contact insurance companies to resolve issues related to unpaid or incorrectly processed claims.

· Communicate with patients regarding billing inquiries, payment plans, and financial assistance options.

Compliance & Reporting:

· Maintain up-to-date knowledge of hospice and home health billing regulations, including Medicare and Medicaid policies.

· Ensure compliance with HIPAA and other federal, state, and local regulations.

· Prepare and analyze AR reports, aging reports, and other financial documents to identify trends and areas for improvement.

Billing & Claims Processing: (as needed)

· Prepare and submit claims for hospice and home health services to Medicare, Medicaid, private insurance, and other payers.

· Ensure compliance with industry regulations, payer guidelines, and coding requirements.

· Monitor claim submissions, track payments, and resolve any claim rejections or denials in a timely manner.

· Work collaboratively with the finance team to ensure accurate financial reporting and reconciliation

· Other duties as assigned by supervisor.

Requirements

Education: High school diploma or equivalent required; associate or bachelor’s degree in accounting, finance, or healthcare administration preferred.

Experience: Minimum 2 years of accounts receivable, medical billing, or revenue cycle experience, preferably in a hospice or home health setting.

Knowledge:

o Understanding of Medicare, Medicaid, and private insurance billing processes.

o Familiarity with electronic health records (EHR) and billing software (such as MatrixCare, Homecare Homebase, or similar).

o Knowledge of medical terminology, CPT, HCPCS, and ICD-10 coding preferred.

Skills:

o Strong attention to detail and problem-solving abilities.

o Excellent communication and interpersonal skills.

o Ability to work independently and collaboratively in a fast-paced environment.

o Proficiency in Microsoft Office (Excel, Word, Outlook).