Accounts Receivable Specialist

Company: Forge Health
Location: White Plains
Posted on: May 23, 2023

Job Description:

About Us:Forge Health is a mission-driven outpatient mental health and substance use provider dedicated to providing the highest quality, affordable, and effective "one-stop-shop" care to individuals, families, and communities in need. As the first and only behavioral healthcare provider with a proven, national payer-validated ability to drive clinical outcomes that span all areas of health, Forge Health is leading the charge in driving innovation, improving care delivery, and shaping the future of behavioral health care.We're thrilled to have been named the fastest growing mental health and substance use treatment company in 2021 and 2022 by Inc. Magazine - a remarkable honor that is a testament to our team's relentless commitment to our mission. If you're passionate about building a great business that makes a difference and working alongside sharp, dedicated, and entrepreneurial individuals, then Forge Health is the right fit for you. Come join us!Who we're looking for:We are looking for an Accounts Receivable Specialist to join our corporate team. The Accounts Receivable Specialist is a key member of our team and will work directly with insurance carriers (via phone and web portals) for Forge Health's ten (and growing) facilities across New York, New Jersey, Pennsylvania, New Hampshire and Massachusetts. Please note: this position sits on-site Monday-Friday, in our White Plains office, and will report into the Medical Billing Manager.What you'll be doing:Work directly with insurance carriers via phone and web portals to follow up on outstanding claims, resolve payment variances, and achieve timely reimbursement.Examine denied claims to determine reasons and correct denials to be reprocessed for payment.Write and submit appeals to insurance carriers to resolve denials.Works with management to identify, trend, and address root causes of rejects and denials.Maintains a thorough understanding of federal and state regulations, as well as specific payer requirements and explanations of benefits, in order to identify and report billing compliance issues and payer discrepanciesEnsures strict confidentiality of personal client information and data.Drafts and edits documents/communications, as needed.Assists clinical staff in providing excellent customer service to all clients.Any other duties as required by supervisor.What you'll need:3+ years of A/R Follow Up experience2+ years of A/R Insurance experience in the healthcare sector preferred.Bachelors degree required.Extremely detail-oriented with excellent analytical, problem-solving, and organizational skillsAbility to keep confidential medical records of patients.Works well in groups as well as individually, with minimal supervision.Flexible, adaptive, punctual, and highly reliable.Why Forge?The opportunity:Our team refuses to compromise on integrity, and we look for talented, driven hard workers who hold the same passion for the pursuit of high quality, evidence-based mental health and substance use care that we do. Our collective passion is driven and embodied by our core values:Fulfilling: Our work creates lives that are complete and self-actualized, enabling stronger families and communities - and a therapeutic community rewarded by successOptimistic: Our passionate positivity and empathy overcome setbacks and get you to your goals, scientifically and humanelyReciprocal: Without mutual trust and commitment, there can be no progressGrateful: We profoundly recognize and appreciate the trust of our patients and the commitment of our cliniciansEvidence-Based: We are committed to measurable outcomes, which provide confidence to our patients and creates a standard of care for ourselves and othersThe package:At Forge, our people are our greatest asset. We're collaborative, empathetic, and passionate. We learn from our mistakes, we carve out time to breathe, and we are celebrated for our wins. In short, we know that we can't do what we do without you! So, we designed a comprehensive, competitive benefits package that reflects our appreciation of our people:Competitive salary aligned with your experienceComprehensive paid time off packageAnnual time off to volunteerParental leaveAnnual continuing education allocationsCompetitive medical, dental, and vision packageAnnual subscription to a leading meditation appAn environment that fosters professional development including financing for advanced licensure and certificationsInternal supervision opportunitiesDedicated, motivated team and chance to be part of a highly ambitious medical startupModern, elegant, and high-end work environmentWe are committed to equal employment opportunity. We give equal consideration to all applicants when filling positions without regard to race, color, religion, gender, sexual orientation, gender identity, national origin, age, actual or perceived disability, genetic information, marital status, and/or any other status not related to an applicant's ability to perform the job duties. All employment practices will be carried out in accordance with federal, state and local laws.We will also fully comply with regulations and requirements set out by the Americans with Disabilities Act (ADA) and the ADA amendments Act (ADAAA). We will not discriminate against applicants or other individuals with real or perceived disabilities. When needed, we will provide reasonable accommodation to otherwise qualified candidates so that they are able to perform the essential functions of the position.

Keywords: Forge Health, White Plains , Accounts Receivable Specialist, Other , White Plains, New York