Job Details

OUR MISSION AND PERFORMANCE EXPECTATIONS

The MENTOR Network is a mission-based organization dedicated to providing high quality services to those we serve. Therefore, to deliver on our mission, The Network expects every employee to perform his or her job first and foremostin accordance with the Company's mission.

SUMMARY

The AR Collections Associate is responsible for following up in a timely fashion on claims that have been paid incorrectly or have not paid at all. They are responsible for communicating with the field and their supervisor any issues preventing a claim from being sent to the payer. They are also responsible for sending claims to the payer in a timely and accurate manner.

ESSENTIAL JOB FUNCTIONS

To perform this job successfully, an individual must be able to satisfactorily perform each essential function listed below:

• Reviews and works denials in workflow system daily

• Reviews and works denials in payer portal and/or clearinghouse portal daily

• Reviews and works in DWF for tasks with follow-up dates that are set to expire on that day

• Reviews and works in DWF for tasks without a payer response once past 30 days from billing

• Follows-up with Field on updates to items assigned to them that are past follow-up date

• Updates DWF with clear concise notes as claims are worked

• Notifies Field of denials that require their attention

• Notifies biller when claims can be electronically rebilled

• Sends out paper or complete web portal billing once any necessary corrections have been made

• Communicates with Field Finance and SSC Management on issues with collections

• Reviews unapplied cash log for any items that can be applied and work with cash team to resolve

• Works credit balances on the aging and overpayment account and follow the credit balance procedure for resolution

• Completes necessary forms and provides appropriate support for:

a. Refunds

b. Cash move

c. Sales adjustments

d. Transfer of Liability

• Ensures internal control compliance with all assigned areas and other audit requirements

• Assists in the onboarding of new hires by providing required training when necessary

• Embraces concept mentoring by actively participating in team meetings and fostering an environment in which team members proactively collaborate with one another

• Proactively supports management as well as the objectives and goals of the department

• Supports special projects, mission critical initiatives and performs other duties as assigned by the Supervisor

• Ensures Sarbanes Oxley compliance with all assigned areas and other audit requirements.

• Responsible for the maintenance of an effective control environment under SOX 404 for the accounting operations he or she oversees. This includes both key and non-key controls and extends to the timely updating and modification of control design where necessary and the oversight of control remediation activities should exceptions be encountered in testing.

• System testing

• Performs other related duties and activities as required

SUPERVISORY RESPONSIBILITIES

None Required

Minimum Knowledge and Skills required by the Job

The requirements listed below are representative of the knowledge, skill, and/or abilities required to perform the job:

Education and Experience:

• High school diploma or equivalent

• Associates or Bachelor's degree in a Finance related field preferred

• No experience in Medical Collections necessary

Certificates, Licenses, and Registrations:

• None required.

Other Skills and Abilities:

• Must be self-motivated and detail oriented

• Must have excellent communication skills

• Must be highly organized with ability to multi-task

• Must have analytical skills and the ability to collect information from different sources

• Effectively use Microsoft Office (Word, Excel, PowerPoint, Outlook, etc.)

Other Requirements:

• Travel as needed

Physical Requirements:

• Sedentary work. Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body.Sedentary work involves sitting most of the time.Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met .

AMERICANS WITH DISABILITIES ACT STATEMENT

External and internal applicants, as well as position incumbents who become disabled, must be able to perform the essential job functions either unaided or with assistance of a reasonable accommodation to be determined on a case by case basis via the interactive process.

Sevita is a leading provider of home and community-based specialized health care. We believe that everyone deserves to live a full, more independent life. We provide people with quality services and individualized supports that lead to growth and independence, regardless of the physical, intellectual, or behavioral challenges they face. We've made this our mission for more than 50 years. With Corporate operations located in the Boston Seaport, Lawrence, Massachusetts and Edina, Minnesota, today, our 40,000 team members continue to innovate and enhance care for the 50,000 individuals we serve.

As an equal opportunity employer, we do not discriminate on the basis of race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age, disability, genetic information, veteran status, citizenship, or any other characteristic protected by law.