Account Receivable Representative

IKS Health•Coppell, TX

2d•$20 - $22

About The Position

The Account Receivable Representative will be responsible for adhering to billing guidelines and policies, understanding insurance rules and guidelines (including Medicare, Medicaid, and Workers-Comp), and analyzing claims in the billing system. This role involves identifying the root cause of rejections and denials, accurately identifying responsible payers, and billing/appealing claims. The representative will perform timely follow-up with payers, gather necessary information, and document it clearly in the Billing & Work-Flow Tool. Communication with clinic personnel and insurance companies is key to resolving claims promptly. The role also includes performing ad-hoc tasks and special projects as assigned.

Requirements

3-4 years experience in AR role/s
Strong Interpersonal, Oral and Written Communication skills
Ability to manage multiple and simultaneous responsibilities
Ability to prioritize the tasks and manage accounts receivables gets assigned
Resourceful and Flexible team player who excels at building trust relationships with the customer operations
Working knowledge of HCPCs codes
Proficiency in computer skills including MS-Office and Google Suite
Proficiency in EPIC Billing System
Proficiency with basic math and accounting skills
Analytical Skills in identifying Trends impacting collections and AR
Experience in working Medicare and Medicaid claims
Experience in hospital claims follow-up
Experience in ASC claims follow-up
Familiarity with DDE systems

Nice To Haves

Experience in Workflow Tools is an added advantage

Responsibilities

Adhere to Billing Guidelines and Policies
Knowledge of Insurance rules and guidelines, including Medicare, Medicaid and Workers-Comp
Review, Analyze Claims in Billing System and Take Necessary Steps to advance the Claim to Next Level
Identify the root cause for Rejections and Denials and escalate to appropriate team to take action
Identify the Responsible Payer Accurately and Bill / Appeal Claims
Perform timely follow-up with payer and ensure required information is gathered and documented clearly in the Billing & Work-Flow Tool
Communicate with clinic personnel and insurance to resolve the claim in a timely manner
Perform Ad-hoc Tasks assigned as Special Projects