Accounts Receivable Billing Associate, FQHC & Credentialing
Overview
Own accounts receivable management for a busy primary care practice within a Federally Qualified Health Center. Lead denials management, resubmissions, and cash flow optimization for NJ Medicaid and related payer mix. Collaborate with Billing IT, Financial Counseling, and leadership to improve accuracy and reduce aging contributing to sustainable revenue cycle. This role blends coding accuracy with process improvement to support patient access and financial health.
What You'll Do10
- 1Build and monitor AR aging analyses to identify denial trends and reclaim revenue
- 2Review claims portal and clearinghouse activity to ensure timely submission and payment
- 3Identify trends, address issues and improve cash flow through new processes and technologies
- 4Prepare and analyze AR related financial reports for CFO/CEO and leadership
- 5Monitor aging balances and recommend write-offs or bad debt provisions
- 6Collaborate with Financial Counseling, IT and Billing to resolve coding and procedure deficiencies
- 7Support credentialing processes and primary source verifications for providers
- 8Coordinate with HR and IT on provider data, NPI numbers and provider directory maintenance
- 9Maintain and update documentation with CAQH, NPPES/PECOS and provider recertifications
- 10Produce monthly dashboards and quarterly reports on uninsured patients and patient population served
Requirements9
- 1High school diploma required with an Associate or Bachelor’s degree in Finance/Accounting, Business Management/Healthcare Administration preferred
- 23-5 years in accounting, billing/credentialing or AR in a primary care setting
- 3Experience with Practice Management Systems, Intergy/Greenway preferred
- 4Knowledge of NJ Medicaid, Medicaid HMOs, Medicare, Commercial and Sliding Fee Program billing
- 5Strong Excel and Microsoft Office capabilities with attention to accuracy
- 6Excellent communication and problem-solving skills with detail orientation
- 7Credentialing experience including primary source verification and CAQH familiarity
- 8Ability to prioritize and manage multiple tasks in a busy clinical environment
- 9Familiarity with E&M coding and ICD-10/CPT procedures
Salary Insight
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