Senior AR Management Specialist

Join Chimes - and go further to help others go far! Chimes is a not-for-profit organization that assists people with intellectual and behavioral challenges to achieve their fullest potential.Our vast array of services - educational, employment, vocational, residential, habilitative and behavioral health - are delivered through a network of national and international affiliates.

This allows us to take a comprehensive, holistic approach to improving the lives of every person we serve - those who receive and those who reap the benefits of our innovative, responsive solutions.Compensation: $67,000 - $69,000 YearlySchedule: Monday - Friday 8:00am-5:30pm
Location: Upper Darby, PAPRIMARY JOB FUNCTION(S):


* Proactively review and follow up on outstanding insurance claims across all payor types (commercial, Medicare, Medicaid, managed care, self-pay, State/County) for outpatient and residential behavioral health and IDD services.


* Identify root causes of claim denials, rejections, and underpayments through thorough analysis of EOBs, ERAs, and claim status inquiries.


* Initiate timely appeals, reconsiderations, and corrected claims with supporting documentation to facilitate prompt resolution.


* Work collaboratively with the billing, coding, and payment posting teams to resolve billing errors, coding discrepancies, and posting issues affecting AR.


* Develop, implement, and maintain comprehensive Standard Operating Procedures (SOPs) for all AR follow-up processes, ensuring consistency, accuracy, and efficiency across the team.


* Generate and analyze AR aging reports, denial trends, and collection performance metrics.


* Provide insights and recommendations to management on strategies to reduce AR days, improve collection rates, and prevent future denials.


* Participate in regular AR review meetings with leadership to discuss challenges, successes, and action plans.


* Reports to the AR Manager or designee any breaches of Agency accounting policies and procedures.


* Meets deadlines as required for month end and year end processing.


* Strong understanding of revenue cycle management within a healthcare setting, specifically behavioral health (outpatient and residential preferred) and IDD.


* Assists with and prepares needed documents for audits.


* Monitors customer accounts totals for accuracy and collectability.

Assists in identifying and writing off bad debt.


* Communicates immediately with AR Manager or designee issues regarding billing and receivables.


* Uses advanced technology for the completion of specified job duties.


* Attends work regularly according to assigned work schedule and in accordance with Agency policy.


* Attends and participates in in service training, staff meetings and other activities to facilitate professional development.


* Works cooperatively with others including all staff, supervisors, administrators, co-workers, individuals served, communit...