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Accounts Receivable Specialist

Company Description

MGA Homecare has been providing Private Duty Nursing, Skilled Nursing Visits, Occupational Therapy, Physical Therapy, and Speech Therapy services within the home and community-based setting for over a decade. In 2022 MGA has opened its doors to MGA Behavior Therapy which offers Applied Behavior Analysis (ABA) and early behavior intervention for pediatric patients with autism spectrum disorder (ASD) and other developmental disabilities.
 
We aim to help our patients and their families by delivering high-quality clinical care in the comfort of their homes. Our goal is to make the lives of our patients and their families easier by demonstrating compassion and integrity at the heart of everything we do. By bringing individualized attention and support throughout every home. MGA Homecare is proudly serving the states of Arizona, Colorado, North Carolina, Tennessee, Texas, and Washington, and are here to be a resource for patients and their families.

Job Description

As an Accounts Receivable Specialist, you will report directly to the VP of Revenue Cycle and will be responsible for all billing/collection functionalities for Tennesee locations. Seeking an individual who thrives in a fast-paced, high-volume environment.

Duties and Responsibilities

  • Represents themselves in a positive and professional manner in the company and community. Supports and executes the mission, ethics, and goals of the company effectively.
  • Reports on time and as scheduled to complete work within designated time. Adheres to dress code with a clean and neat professional appearance.
  • Adhere to all other company policies and procedures outlined in the Employee Handbook, Employee Agreement, or communicated from executive team.
  • Communicate effectively with staff and management, companywide.
  • Run weekly billing reports (Holds, AR, Unbilled, Non-Billable, etc.) for all assigned locations prior to beginning Weekly Billing. Reports will highlight accounts with deficient items that are unable to be billed resulting in potentially missed revenue.
  • Draft invoice batches for each payer and location. Review for any discrepancies prior to sending. High volume environment.
  • Review Insurance and Clearing House website weekly to ensure all submitted claims are being processed. Correct any rejected claims and resubmit.
  • Use websites and phone calls to gather claim status info for payment, denial or rejections.
  • Adhere to state guidelines and regulations for EVV (Electronic Visit Verification).
  • Assist with projects as needed. Perform all other duties assigned by Revenue Cycle Management.

Qualifications

  • 1 year of Medical Billing and knowledge of State and Commercial/Private Insurance payers. (Preferred) TN or WA a plus.
  • General knowledge of Microsoft Office programs, including Excel.
  • Strong attention to detail, organized, determined, and customer service oriented. 
  • Excellent written and verbal communication abilities.
  • Able to perform all assigned tasks within timelines given.
  • Maintain strict confidentiality regarding any information disclosed and adhering to all HIPAA guidelines and regulations.

Additional Information

Benefits are available to eligible employees on the first of the month after 30 days of employment and include:

  • Fully remote
  • Hourly pay of $22 - $24
  • Health, Dental & Vision Coverage
  • Health Savings Accounts (HSA-available if enrolled in a high deductible plan)
  • Flexible Spending Accounts (FSA & LPFSA)
  • Dependent Care Reimbursement Accounts (DCRA)
  • Employee Assistance Program (EAP-available if enrolled in Health plan)
  • 401(k) retirement plan
  • Paid Time Off (PTO)
  • 7 Company Paid Holidays
  • 100% Basic Life Insurance (if enrolled in Health plan)
  • Voluntary Life Insurance
  • Short & Long-Term Disability
  • Critical Illness/Accident Insurance
  • Hospital Indemnity Insurance
  • Identity Protection Plan
  • Legal Care Plan
  • Pet Discount Program

All your information will be kept confidential according to EEO guidelines.

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What You Should Know About Accounts Receivable Specialist, MGA Homecare

Are you ready to take your career to the next level as an Accounts Receivable Specialist with MGA Homecare in Nashville, TN? MGA Homecare has established itself as a leader in providing compassionate and quality home-care services for over a decade. As an Accounts Receivable Specialist, you'll play a vital role in managing the billing and collections processes across our Tennessee locations. This position is perfect for someone who thrives in fast-paced environments and enjoys keeping organized. Your day-to-day responsibilities will include generating weekly billing reports, drafting invoice batches, and ensuring all claims are processed smoothly. Your attention to detail and strong communication skills will help you navigate through claim statuses and work collaboratively with our team. We are looking for someone who embodies our commitment to integrity and compassion, bringing a positive attitude to every interaction. If you have experience in medical billing and are familiar with state and commercial/private insurance, we want to hear from you! Enjoy the flexibility of a fully remote position, with a competitive hourly rate and a comprehensive benefits package. Here at MGA Homecare, we believe in supporting our team members to ensure they feel valued and engaged. Join us in making a difference in the lives of our patients and their families, because at MGA, it's not just a job; it's a fulfilling career that truly matters.

Frequently Asked Questions (FAQs) for Accounts Receivable Specialist Role at MGA Homecare
What does an Accounts Receivable Specialist do at MGA Homecare?

An Accounts Receivable Specialist at MGA Homecare is essential for managing the billing and collection processes for our Tennessee locations. This role involves generating billing reports, processing invoices, ensuring claims are appropriately submitted, and resolving any discrepancies. The specialist also communicates with team members and insurance companies to ensure timely payments.

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What qualifications do I need to apply for an Accounts Receivable Specialist position at MGA Homecare?

To be considered for the Accounts Receivable Specialist position at MGA Homecare, candidates should have at least one year of experience in medical billing and knowledge of state and commercial/private insurance. Proficiency in Microsoft Office, especially Excel, and excellent communication skills are also essential.

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How does MGA Homecare support its Accounts Receivable Specialists?

MGA Homecare supports its Accounts Receivable Specialists by providing a fully remote work environment, competitive hourly pay ranging from $22 to $24, and comprehensive benefits such as health, dental, and vision coverage. We are committed to the professional development and well-being of our employees.

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What is the work environment like for an Accounts Receivable Specialist at MGA Homecare?

The work environment for an Accounts Receivable Specialist at MGA Homecare is fast-paced and detail-oriented. You will be part of a dedicated team focused on ensuring timely billing and collections, while emphasizing customer service and compliance with state regulations.

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Are there opportunities for advancement for Accounts Receivable Specialists at MGA Homecare?

Yes, MGA Homecare values employee growth and offers opportunities for advancement for Accounts Receivable Specialists. As you gain experience and demonstrate your skills, you may have the chance to move into higher-level positions within the revenue cycle management team.

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Is remote work available for the Accounts Receivable Specialist position at MGA Homecare?

Absolutely! The Accounts Receivable Specialist position at MGA Homecare is fully remote, allowing you to work from the comfort of your home while maintaining a healthy work-life balance.

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What are the main responsibilities of an Accounts Receivable Specialist at MGA Homecare?

The primary responsibilities of an Accounts Receivable Specialist at MGA Homecare include running weekly billing reports, drafting invoice batches, correcting rejected claims, adhering to state guidelines, and effectively communicating with both staff and insurance companies to facilitate timely payments.

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Common Interview Questions for Accounts Receivable Specialist
Can you describe your experience with medical billing and collections?

In my previous roles, I have managed billing and collections processes by ensuring claims are submitted correctly and follow up regularly on unpaid invoices. I believe effective communication and organization are key in managing this aspect of revenue cycle management.

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How do you ensure accuracy when preparing invoices?

I double-check all submitted information against client accounts and payer requirements. I also maintain a keen eye for detail when drafting invoices and run through comprehensive checklists before final submission.

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What strategies do you use to handle denied claims?

When dealing with denied claims, I start by investigating the denial reasons provided by the payer. I then collaborate with the medical staff to clarify any discrepancies, make necessary adjustments, and resubmit the claims in a timely manner.

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How do you keep up with insurance payment guidelines?

I regularly review updates from insurance companies and participate in training workshops to remain current with billing practices and payment guidelines, ensuring compliance with state regulations.

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What tools or software are you familiar with for billing?

I have experience using several medical billing software programs such as Kareo and AdvancedMD, alongside proficiency in Microsoft Excel for analyzing billing reports and maintaining accurate records.

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How do you prioritize your tasks during high-volume billing periods?

I prioritize my tasks by creating a daily to-do list that outlines essential functions based on deadlines and urgency. This method allows me to focus on high-priority accounts while maintaining overall efficiency.

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Describe a time when you had to deal with a difficult client or insurance company.

In one instance, an insurance company was disputing a billing claim. I calmly addressed their concerns by providing clear documentation and explanations, which ultimately led to a resolution favorable to both parties.

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What do you find most challenging about billing and collections?

The most challenging aspect is managing timelines for payments while navigating complex insurance policies. However, I find that thorough documentation and persistent follow-ups can help mitigate many of these challenges.

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How do you ensure confidentiality and compliance with HIPAA regulations?

I adhere strictly to all HIPAA guidelines by limiting access to sensitive patient information to those who need it for processing. Regular training and reminders are instrumental in maintaining compliance in the workplace.

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What motivates you to work in accounts receivable?

I am motivated by the opportunity to positively impact a healthcare organization by ensuring timely payments that allow us to continue providing services. The challenge of problem-solving in billing also excites me.

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MGA Homecare provides exceptional services, resources, and support to families navigating in-home care for children with specialized medical needs.

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Full-time, remote
DATE POSTED
November 24, 2024

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