Accounts Receivable Representative

GENERAL SUMMARY

Responsible for daily follow-up of outstanding account balances worked in EPIC. Representatives will be evaluated on progress of work, accuracy, and quality. There are also benchmarks for performance measures that may be taken into consideration. Judgment of work includes ability to prioritize; quantity of accounts worked daily, accuracy of detail and documentation of work done.

ESSENTIAL JOB FUNCTIONS*

• Follow-up on outstanding/rejected claims. Utilizing all available avenues to contact insurance companies, accurately documenting the account, gathering and sending the necessary documentation to process the claims when necessary.
• Review, correction and completion of edit lists weekly (when assigned) for the particular insurance(s)
• Serve as a resource for problem solving issues related to claim/ account follow up including denials, registration demographic and insurance errors.
• Ability to navigate and toggle back and forth within multiple payer websites and internal billing systems to determine various aspects of account detail necessary for data management.
• Appeals. Once a claim is denied and an appeal is appropriate, appeals are to be made on timely basis in order to avoid filing limits. It is expected of the employee to have knowledge of what can be appealed and what cannot.
• Knowledge of third-party payer and government guidelines. Keeping management informed when changes that would affect the billing of claims for assigned payers occur.
• Projects. When asked to do a project, employee is required to complete the project within the specified time frame. Employees are responsible to gather and compile information relevant to the project, log the findings, and a final documented report for management.
• Recommend quality and / or process improvements initiatives in order to more effectively and efficiently perform the job functions of this position.

OTHER DUTIES AND RESPONSIBILITIES

· Other duties as assigned by supervisor.

Skills/Abilities/Competencies Required

• Excellent organizational skills.
• Employees must demonstrate excellent customer service skills, i.e. listening, problem solving, professionalism, etc. If unable to resolve, he/she should expedite the call to a supervisor or tell patient you need to do additional research and will have to get back to them.
• Each employee must possess good interpersonal skills and demonstrate teamwork.
• Each employee must possess excellent organizational skills and demonstrate teamwork. When asked questions by Management, each employee is expected to have the knowledge and detail or know how to obtain it.
• Each employee must demonstrate initiative, independence, and a willingness to learn new tasks and must be able to work with minimal direction.
• Ability to navigate and toggle back and forth within multiple payer websites and internal billing systems to determine various aspects of account detail necessary for data management.

Qualifications

• High School diploma required.
• 3-5 years of experience in professional billing healthcare setting.
• Must possess strong verbal and written communication skills.

WORKING CONDITIONS/PHYSICAL DEMANDS

• Remote Office Environment

Job Type: Full-time

Pay: $26.00 - $28.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• AD&D insurance
• Dental insurance
• Flexible spending account
• Health insurance
• Life insurance
• On-site gym
• Opportunities for advancement
• Paid sick time
• Paid time off
• Parental leave
• Retirement plan
• Vision insurance
• Work from home

Physical Setting:

• Office

Experience:

• Medical billing: 2 years (Required)

Work Location: Remote