accounts receivable representative

UNLV Health

<div><p>The Insurance Accounts Receivable Representative&rsquo;s primary responsibility is to provide the highest quality of customer service and accounts receivable management to our patients by embracing the UNLV Medicine Guiding Principles. The representative will review and analyze patients&rsquo; medical records in conjunction with the accounts receivables to ensure that the claims were billed correctly and that the insurance company has the necessary information to adjudicate the claims. He/she must be well versed with the insurances and adjudication processes of his/her partner practices. The representative will follow the prescribed steps in the Insurance Follow-Up Process to ensure that the outstanding A/R is collected within 120 days from the aging date. He/she will accept other duties/projects as assigned by the Patient Financial Services Leadership. Must be knowledgeable of HIPAA Law, and standard coding such as CPT/HCPCS.</p><p>
Candidates must be legally authorized to work in the United States. Please Note: UNLV Health does not provide employment sponsorships or sponsorship transfers for any positions.</p><p><b>
ADVANTAGES OF WORKING FOR UNLV HEALTH</b></p><ul><li>
Office Hours are Monday through Friday, 8AM to 5PM (Actual hours may vary depending on business need)<br>
</li><li>
12 Paid Holidays per year, starting with your first day of employment</li><li>
20 + PTO days per year (Depending on Position)</li><li>
3% 401K Contribution, even if you do not contribute</li><li>
Medical, Dental, and Vision benefits that start the first of the month following your start date</li></ul><p><b>
EDUCATIONAL REQUIREMENTS</b></p><ul><li>
High School Diploma or equivalency</li></ul><p><b>
QUALIFICATIONS</b></p><ul><li>
3-5 years billing experience in a high volume multi-specialty setting, Medicare and or Medicaid billing experience preferred.</li><li>
CPT and ICD10 coding required</li><li>
Type at least 45 WPM</li><li>
10 key proficient</li><li>
Computer skills required (Word, Excel, PowerPoint) basic computer knowledge</li><li>
Intermediate oral and written communication skills required</li><li>
High School Diploma or equivalent</li></ul><p><b>
PHYSICAL REQUIREMENTS</b></p><ul><li>
May include standing, sitting, and/or walking for extended periods</li><li>
May include performing repetitive tasks</li><li>
May include lifting up to 25 pound</li></ul><p><i>
UNLV Health will provide equal opportunity employment to all employees and applicants for employment. No person shall be discriminated against in employment because of race, color, gender, age, national origin, ancestry, religion, physical or intellectual disability, marital status, parental status, sexual orientation, or any other category protected by law.</i></p><p><i>
If you have any questions about our interview and hiring procedures, please contact Recruitment at </i><i>healthjobs@medicine.unlv.edu</i><i> .</i></p></div><p></p>

Accounts Receivable Representative

SpecialtyCare

<div><div><b>Passionate, driven people dedicated to making a difference in healthcare.</b></div><div></div><div><b><br>
SpecialtyCare</b> continues to grow and we&rsquo;d like you to grow with us. We are the most experienced provider of outsourced clinical services in the industry, and we are always interested in building our team by hiring and training smart, dedicated people who share our values and our commitment to excellence.</div><div></div><div><b><br>
Focused on Excellence</b></div><div>
At SpecialtyCare, everyone makes a difference in the delivery of healthcare. Each of us, no matter the role, is important to the success of our company, the success of our customers, and the health of our patients. Exceptional care and positive patient outcomes require team members passionately dedicated to collaborating and driving excellence at every turn&ndash;from clinicians in the operating room to administrative people providing support behind the scenes. Highly successful companies need top talent in every position. And, with our outstanding work environment and our focus on people as one of our critical success factors, we are very committed to you, your career, and your success.</div><div><br>
</div><div><b>
Job Summary</b></div><div>
As an Accounts Receivable Representative you are responsible for trending, analyzing and working medical claim denials from commercial, multi-state Medicare and Medicaid, HMO/PPO and subrogation payers as assigned.</div><br>
<div></div><ul><li>
Initiate collection follow-up on under paid and denied claims with assigned payers through reconsideration forms, appeals or phone calls to the payer.</li><li>
Research and resolve claim rejections.</li><li>
Identify billing errors to be corrected by coding team.</li><li>
Research insurance medical policies and guidelines.</li><li>
Respond to payer correspondence in a timely manner.</li><li>
Communicate payment or denial trends to management in a timely manner.</li><li>
Document all follow up efforts and communication within practice management system.</li><li>
Develop and maintain positive working relationship with team members.</li><li>
Other projects as assigned.</li></ul><br>
<p></p>
<div><div><b>Requirements</b></div><ul><li>
Associate&rsquo;s degree or equivalent experience.</li><li>
Three years of accounts receivable experience working with payors.</li><li>
Must be proficient with Microsoft Office, especially Excel.</li><li>
Ability to read, analyze and interpret insurance policies and guidelines.</li></ul><div></div><div><b><br>
The Successful Candidate</b></div><div>
The successful candidate must bring a high level of ethical, intellectual, professional and personal values that complement the team and company vision. The following competencies are highly valued:</div><ul><li>
Has high attention to detail with the ability to analyze information.</li><li>
High energy, self-motivated individual whose style is effective in working with all levels of the organization to drive performance and continuous improvement using an analytical and metrics based approach.</li><li>
Lives the SpecialtyCare Values &ndash; Integrity, Care, Urgency, and Improvement.</li></ul><div></div><div><b><br>
Growing through Training and Professional Development</b></div><div>
SpecialtyCare provides support and reimbursement for continuing education and professional development to all associates across the company. We can also help you build your career through managerial opportunities. If you are willing to work hard, we are willing to help you grow.</div><div><br>
</div><div><b>
Benefits</b></div><div>
We offer competitive compensation and a robust benefits package that includes health, dental, vision, and life insurance plans; generous paid time off; 401(k) with matching funds; tuition reimbursement; and professional development and membership allowances.</div><div></div><div><br>
SpecialtyCare offers a competitive benefits package including medical, vision, dental, life, 401K plus match, and PTO plan. Hourly Wage Estimate: $22.00/hour (Several factors, such as specific skill set, education level, certifications and years of experience, are considered to determine actual compensation.)</div><div></div><div><br>
</div><div>
 SpecialtyCare is an Equal Opportunity and Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.</div><p></p><div><br>
SC Corp</div></div></div><p></p>

Versant Health

Senior Billing and Accounts Receivable Representative
<br><br>
Who are we?
<br>Versant Health is one of the nation's leading administrators of managed vision care, serving over 35 million of our clients' members across the United States. Our purpose is to make healthy vision a reality for everyone by improving access to care and education in the communities we serve. Fueled by our mission to improve members' lives with easy-to-use vision solutions rooted in choice value, and care, we believe that everyone has the power to become anything they set their sights on.
<br><br>
See how you can make a difference with the support of strong leadership and a team environment.
<br><br>
<b>Versant Health:</b> Making Healthy Vision a Reality for Everyone
<br><br>
What are we looking for?
<br>Primary job responsibilities of the Senior AR Representative will include supporting the core processes of the Billing and Accounts Receivable team. These efforts include: Accounts Receivable processes for customer invoicing, collections, reconciliation, balancing and auditing customer accounts, supporting customer inquiries regarding balances billed, billing challenges and balance due inquiries. Also support cash posting, month end close activities and the negative balance, provider Excel/Davis Collections billing as needed. Provide billing portal support to customers, client billing support through new client setup and changes to existing accounts. In addition, this role will interact with Groups and possibly Providers to perform monthly collection calls and send emails. This role will also assist with audits.
<br><br>
Where you will have an impact
<br><ul>
<li>Provide excellent customer service to internal and external customers of the Billing department</li>
<li>Work closely with clients, brokers and TPA’s on any identified concerns or challenges with system invoices, balances due or eligibility issues.</li>
<li>Research, reconcile, audit, resolve and make adjustments on accounts</li>
<li>Support entering daily cash receipts, billings and adjustments in various financial systems</li>
<li>Support the Collection letters process as needed</li>
<li>Reconcile Accounts Receivable transactions and group accounts to the General Ledger and AR Aging for month end close</li>
<li>Call or email past due accounts for collection</li>
<li>Assist in the setup of accounts for “new” clients to achieve their billing needs</li>
<li>Establish work procedures and processes for the Billing and Accounts Receivable Department that support company and departmental standards and strategic directives</li>
<li>Learn and follow departmental procedures which include, phone and R/T queue responsibilities and activities</li>
<li>Proficient in resolving issues and/or directing customers to the appropriate department for resolution</li>
<li>Participate in any/all training and educational activities necessary to fulfill at least the minimum requirements as specified within your departmental goals. This is in addition to,</li>
<li>the completion of any activities necessary for the maintenance of professional affiliations or organizational requirements</li>
<li>Support the creation of customer invoices in accordance with established procedures</li>
<li>Support the distribution of invoices to customers via billing portal, print and mail and email where necessary</li>
<li>Support creation of non-systemic invoices as needed for our HP/ASO/FFS populations</li>
<li>Pull support for semi and annual audits,prepare schedules and interact with auditors.</li>
<li>Responsible for identification of pending issues and bringing to the attention of the supervisor/manager</li>
<li>Effective communication with internal/external departments on issues.</li>
<li>Assist in special projects and department initiatives as assigned.</li>
<li>Assist and support process improvements for Billing and Accounts Receivables.</li>
<li>Diffuse and escalate challenging situations</li>
<li>Regular reliable attendance is required</li>
<li>Perform other duties as assigned by leadership to support the overall success of the Billing and Accounts Receivable Department</li>
</ul>
What’s necessary to do the job?
<br><ul>
<li>Minimum High School Diploma or GED required</li>
<li>2-3 years of Accounts Receivable experience required</li>
<li>4-5 years of Accounts Receivable experience preferred</li>
<li>2 years experience in the insurance, health, or vision care industry required</li>
<li>Preferred Associates degree in Accounting in related field or equivalent combination of Health Insurance company billing/AR experience and education</li>
<li>Experienced and very skilled in working with Microsoft Excel and Word, required proficiency with MicroSoft applications</li>
<li>Also requires excellent verbal and written communication skills to communicate with clients via phone and written correspondence. Experience and ability to prioritize multiple tasks appropriately</li>
</ul>
HIPAA & Security Requirements
<br>All Associates must comply with the Health Insurance Portability Accountability Act of 1996 (HIPAA) as it pertains to disclosures of protected health information (PHI) as described in the Notice of Privacy Practices and HIPAA Privacy Policies and Procedures. As a component of job roles and responsibilities, Associates may have access to covered information, cardholder data or other confidential customer information which must be protected at all times. As a result, Associates must explicitly adhere to all data security guidelines established within the Company’s Privacy & Security Training Program.
<br><br>
Versant Health will never request money from candidates who seek employment with us and will never ask for any payment as part of the recruitment process.
<br><br>
Versant Health is a proud Equal Employment Opportunity and Affirmative Action employer dedicated to attracting, retaining, and developing a diverse and inclusive workforce. All qualified applicants will receive consideration for employment at Versant Health without regards to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, national origin, marital or domestic/civil partnership status, genetic information, citizenship status, uniformed service member or veteran status, or any other characteristic protected by law.
<br><br>
We offer a comprehensive and competitive total rewards package designed to support your health, financial well being, and work life balance. Benefits include medical, dental, and paid vision coverage; paid time off and company holidays; retirement savings with employer contribution; employee wellness resources; and professional development opportunities. Additional benefits may include flexible work arrangements, employee assistance programs, and other programs that support you both at work and beyond.
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This role is compensated on an hourly basis. The expected hourly pay range for this position is $25.00– $26.00 per hour, based on factors such as experience, skills, and role requirements. Actual pay within the range will be determined during the hiring process and in accordance with applicable wage and hour laws.
<br><br>
Our purpose is to make healthy vision a reality for everyone by improving access to care and education in the communities we serve. Fueled by our mission to improve members’ lives with easy-to-use vision solutions rooted in choice, value, and care, Versant Health believes that everyone has the power to become anything they set their sights on.
<br><br>
Our team is guided by core Leadership Principles—Perspective, Care, Drive, and Ownership—which shape how we work, lead, and grow together.
<br><br>
Our Management Team is committed to fostering a strong and supportive culture, cultivating a thriving work environment, providing clear direction, optimizing resources, enabling innovative solutions, and driving meaningful results.

Senior Billing & Accounts Receivable Representative

Nephrology Associates of Central Fl

<p>We are looking for an experienced Medical Accounts Receivable Representative who will be responsible for the collections of medical insurance claims, dialysis referrals, payment posting, charge entry, etc. with direct medical billing experience.</p><p><b>Responsibilities</b></p><ul><li>Researches all information needed to complete billing process.</li><li>Backup to Receptionist (answering hospital and patient calls when Receptionist is away from desk)</li><li>Transcribes data from source documents and enters into computer files including billing/charge information.</li><li>Screens and reviews source documents at time of entry for proper completion and accuracy. Reviews output for accuracy of data input. Enter correcting entries.</li><li>Participates with other staff to follow up on accounts until no balance or turned over for collection. Follows-up with insurance companies ensuring that coverage and benefits are approved and claims are processed and paid.</li><li>Assists with coding and error resolution. Posts all actions and maintains permanent record of patient accounts.</li><li>Answers telephone calls and provides information as requested. Answers patient questions and inquiries.</li><li>Maintains strictest confidentiality. Communicates questions or concerns for prompt resolution.</li><li>Prints daily report and balances all entries. Reviews the data input for completeness and accuracy.</li><li>Other duties as assigned.</li></ul><p><b>Skills</b></p><ul><li>Strong knowledge of Medical insurances</li><li>Basic knowledge of coding</li><li>Solid understanding of insurance payor requirements for claim follow up</li><li>Proven ability to navigate payor websites (Medicare, Medicaid, Availity, UHC)</li><li>Data entry skills along with a knack for numbers</li><li>Ability to accurately balance payments and daily/monthly payments</li><li>Hands-on experience in claims</li><li>Proficiency MS Office</li><li>Customer service orientation and negotiation skills</li><li>High degree of accuracy and attention to detail</li><li>Strong attention to detail required</li><li>Self-Motivated</li><li>Experience with Epic preferred</li></ul><p>Job Type: Full-time</p><p>Pay: $20.00 - $21.00 per hour</p><p>Benefits:</p><ul><li>401(k)</li><li>Dental insurance</li><li>Employee assistance program</li><li>Flexible spending account</li><li>Health insurance</li><li>Life insurance</li><li>Paid time off</li><li>Vision insurance</li></ul><p>Experience:</p><ul><li>Medical Billing: 1 year (Required)</li></ul><p>Work Location: In person</p>

A/R Representative

Advanced Dermatology and Cosmetic Surgery

Join a workplace recognized by Newsweek as America's Greatest Workplaces for 2024. Advanced Dermatology and Cosmetic Surgery’s mission is to deliver the highest quality patient care and experience in dermatology and aesthetic services. We are currently seeking candidates who are focused, detailed, and resourceful to join our team as an Accounts Receivable Representative. We strive to create a career destination that feels more like family than work. You will be working with a team of professionals for a well-known, highly regarded dermatology practice who puts our patients above all else.
<br>SUMMARY
<br>As part of the Accounts Receivable team, you will support the Revenue Cycle Department in ensuring insurance claims have been processed and paid in a timely and effective manner while maintaining accuracy and productivity levels. We are committed to supporting our medical providers with medical billing knowledge and patients with care and compassion! You must have AR knowledge and experience.
<br>ESSENTIAL DUTIES AND RESPONSIBILITIES
<br>Review billing reports and confirmations, tracking daily claims activity
<br>Analyze denials, working to resolve any issues and appeal determinations when needed; flag accounts as appropriate
<br>Initiate and work up refund requests for overpayments
<br>Answer patient questions on plan issues as needed
<br>Follow guidelines of assigned plans concerning pre-certification requirements and procedures for filing and appealing claims
<br>Monitor and immediately report to management any claim submission problems
<br>May perform duties or special projects as required or as assigned by management
<br>EDUCATION REQUIRED
<br>High school diploma or GED
<br>EXPERIENCE REQUIRED
<br>One year (two years preferred) of experience in a medical billing office with experience in insurance, managed care, Medicare, and Medicaid.
<br>Computer experience relating to business office functions, as well as Microsoft Office Suite programs.
<br>Excellent organizational skills
<br>Ability to manage time efficiently, prioritize, multi-task, and adapt to change
<br>Ability to practice confidentiality and follow HIPAA regulations with patient information
<br>Ability to practice professional ethics and use discretion concerning ADCS directives and proprietary information/trade secrets of the organization
<br>Ability to recognize a problem and effectively problem-solve, using guidance from management when appropriate
<br>Ability to maintain high level of accuracy in all documentation and in the performance of all job duties
<br>Skilled in using computers; skilled in typing/keyboarding with typing speed of 25 wpm or greater, preferred
<br>Knowledge of medical terminology and ability to use appropriately, preferred
<br>Ability to deal effectively and professionally with outside vendors and insurance representatives
<br><b>COMPENSATION AND BENEFITS (*Eligible for Full Time Employees):</b>
<br>Benefits packages
<br>PTO/6 Paid Holidays/Floating Holiday/Vacation Time
<br>401K
<br>Hybrid work arrangement after introductory/training period and proven/sustained performance
<br><br>
ADCS Clinics LLC participates in equal employment opportunities for all individuals and abides by EEOC and nondiscrimination provisions of all applicable federal, state, and local laws and regulations. All applicants must have authorization to work in the United States.

A/R Rep - Maitland, FL

EdSavvy Solutions

<p><b>ob Title:</b> Accounts Receivable Specialist &amp; Medical Billing Specialist</p><p><b>Company:</b> Edsavvy Solutions<br/><b>Location:</b> Lahore (Near UCP)<br/><b>Shift Timing:</b> 5:00 PM &ndash; 2:00 AM</p><p><b>Job Type:</b> Full-time</p><p><b>About Us:</b><br/>Edsavvy Solutions is a growing medical billing company based in Lahore, providing services to clients in the United States. We are currently expanding our team and looking for motivated and skilled professionals to join us.</p><p><b>Open Positions:</b></p><ul><li>Accounts Receivable Specialist</li><li>Medical Billing Specialist</li></ul><p><b>Key Requirements:</b></p><ul><li>6 months to 2 years of relevant experience in medical billing or accounts receivable</li><li>Good communication skills (ability to communicate effectively with international clients)</li><li>Willingness to work in the night shift (5:00 PM &ndash; 2:00 AM)</li></ul><p><b>What We Offer:</b></p><ul><li>Professional work environment</li><li>Growth and learning opportunities</li><li>Exposure to international clients</li></ul><p><b>How to Apply:</b><br/>Interested candidates are encouraged to send their resumes to:<br/><b>Email: hr@edsavvysolutions.com</b></p><p>Pay: Rs50,000.00 - Rs100,000.00 per hour</p><p>Expected hours: 40.0 per week</p><p>Work Location: In person</p>

Accounts Receivable Specialist (RCM)

The Palace Boutique Hotel

<ul><li>Key Responsibilities:</li></ul><p>* Manage end-to-end accounts receivable processes and collections</p><p>* Monitor customer accounts, aging reports, and credit limits</p><p>* Reconcile accounts and resolve billing discrepancies</p><p>* Coordinate with internal departments to ensure timely invoicing and payments</p><p>* Prepare AR reports and support financial closing activities</p><p>* Strengthen cash flow management and reduce outstanding receivables</p><ul><li>Requirements:</li></ul><p>✔ Bachelor&rsquo;s degree in Accounting, Finance, or related field</p><p>✔ Proven experience in Accounts Receivable (Senior level preferred)</p><p>✔ Strong analytical and reconciliation skills</p><p>✔ Proficiency in ERP/accounting systems and Microsoft Excel</p><p>✔ Excellent communication and stakeholder management abilities</p><p>✔ Experience in hospitality or service industry is an advantage</p><p>Job Type: Full-time</p><p>Job Type: Full-time</p><p>Work Location: In person</p>

Accounts Receivable

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Accounts Receivable Representative

Accounts Receivable Representative

Senior Billing & Accounts Receivable Representative

A/R Representative

A/R Rep - Maitland, FL

Accounts Receivable Specialist (RCM)

Accounts Receivable