Account Receivable Representative
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 reviewing/analyzing claims in the billing system. This role involves identifying the root cause of rejections and denials, escalating issues, identifying the responsible payer, accurately billing/appealing claims, and performing timely follow-up with payers. The representative will also gather and document required information, communicate with clinic personnel and insurance providers to resolve claims, and perform 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
- Should be 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
- Proficient in EPIC Billing System and any experience in Workflow Tools is an added advantage
- 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
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
Benefits
- healthcare
- 401k
- paid time off
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
