Job Details

divh2Day in the Life of an AR Specialist/h2pSince 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./ppPerforms all duties and responsibilities in accordance with local, state, and federal regulations and company policies./ppUtilize and apply industry knowledge to resolve new and aged accounts receivables by working various account types, including but not limited to professional claims, governmental and/or non-governmental claims, denied claims, aged accounts, high priority accounts, high dollar accounts, reimbursements, credits, etc./ppLeverage available resources and systems (both internal and external) to analyze patient accounting information and take appropriate action for payment resolutions, document all activity in accordance with organizational and client policies./ppCommunicate professionally (in all forms) with payer resources to include websites/payer portals, e-mail, telephone, customer service departments, etc./ppMaintain quality and productivity results at a level that meets departmental standards as measured by a daily/weekly/monthly average./ppReviews claims data and supporting documentation to identify coding and/or billing concerns./ppAbility to interpret payer contracts and identify contract variances affecting reimbursement./ppUtilize knowledge of the cash posting processing to obtain the necessary information to resolve misapplied payments./ppDemonstrate clear proficiency in third-party billing requirements to include federal, state, and commercial/managed care payers./ppInterpret claim scrubber edits/rejections and takes appropriate action necessary to resolve issues./ppSeek resolution to problematic accounts and payment discrepancies./ppPrepare appeal letters for technical denials by accessing specific payer appeal forms, submitting appropriate medical documentation, and tracking appeal resolution./ppAnalyze accounts with critical thinking; consider payer contracts and billing guidelines to ensure one-touch resolution./ppFurther responsibilities may include reviewing insurance credit balances to determine root cause and take the steps necessary to resolve the account./ppIdentify denials trends, root cause, and A/R impact./ppServe as a resource to other team members and assist Team Leads with identifying A/R and denials trends./ppOther Duties as Assigned./ppMust have had at least 2 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 and regulations for claims processing. Must have a High School Diploma/GED./ppHave 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!/pulliMedical, Dental, and Vision Insurance/liliPTO/liliVariety of 401K options including a match program with no vesture period/liliAnnual Continuing Education Allowance (in related field)/liliLife Insurance/liliShort/Long Term Disability/liliPaid maternity/paternity leave/liliMental Health day/liliCalm subscription for all employees/li/ul/div