Full-time
The Accounts Receivable Representative is responsible for following up on denied claims and outstanding account balances from all payors. Must be a Highly organized individual with excellent oral and written communication skills. The Accounts Receivable Representative must be able to work independently and when necessary, with other departments.
RESPONSIBILITIES:
Include but are not limited to:
- Locate and monitor overdue accounts
- Contact commercial/state insurance companies to check on status of claims payments and write appeal letters for denial on claims
- Knowledge of the CMS uniform billing manual
- Familiar with multi-faceted revenue and CPT codes
- Ability to understand explanation of benefits
- Ability to communicate effectively with all payors
- Knowledge of commercial based payor contracts.
- Understand workings of authorizations
- Knowledge of Medicaid and Medicare billing requirements
- Knowledge of auto insurance billing requirements
- Follow up on secondary billings
- Ensures HIPPA compliance and security of documents
- Various other duties as requested
REQUIREMENTS:
- Proficient computer skills
- Exceptional mathematical knowledge
- Exceptional communication skills
- Ability to respond to questions in a tactful and professional manner
- Strong problem-solving abilities
- Ability to persuade and influence
- Ability to be self-directed and work independently, yet contribute to team efforts as needed
- 1-2 years insurance related experience
EDUCATION AND EXPERIENCE:
- High school diploma
- Solid working knowledge of medical:
- Insurance
- Terminology
- Billing
- Coding
- Diagnosis
- 3-5 years’ experience in medical field
- Experience contacting insurance companies, and other entities as needed
