Accounts Receivable/Billing Representative

millenniumsoft•Stuart, FL

12d•Onsite

About The Position

Position Purpose: To process medical billing claims, collect patient or provider payments, resolve questions and problems with a customer’s accounts, process patient refunds, appeals to include re-determinations and re-submissions of billing to patient payers for payment on medical supply orders Primary Duties and Responsibilities: Receive payment denials and to investigate the reason and rectify the situation with the payer or patient Receive inbound and place outbound calls from and to customers, Medicare, Medicaid and Commercial insurance providers regarding patient accounts Provide written correspondence to audit requests to include investigation and obtaining of appropriate documentation to be attached to response Document status of billing and payment process in patient account for future follow-up Keep current on payer requirements via research and coaching to ensure guidelines and procedures are being met for each payer Answer and follow up on calls from patients with billing questions Complete all end of month reports as requested, directed or assigned Complete all internal system service ticket requests as assigned Work miscellaneous projects and tasks on an as needed basis Ancillary Duties and Responsibilities: Maintain a positive work atmosphere that embodies Liberator’s philosophy- Professional excellence, teamwork and integrity. Maintains a production level between 20-40 accounts per day ensuring quality of work is above average. Production rates are at the discretion of management and are subject to change with our without prior notification. Maintains a better than average attendance score Performs other duties and tasks as assigned Reporting Relationship Responsibilities: No supervisory responsibilities Provides work direction only Provides work direction plus has responsibility for hiring, promotions, transfers, performance management, discipline, and discharge. Minimum Requirements Or Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions)

Requirements

High School Diploma or general education degree (GED); two to four years prior medical supply billing experience and/or 1-3 years prior experience as an AR Billing Representative I exceeding performance levels and expectations for that role.
Ability to read, analyze, and interpret medical supply publications, technical procedures, and/or training tools.
Ability to write internal and external business correspondence.
Ability to effectively present information and respond to questions from management, team members, and/or customers.
Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, and percentages.
Ability to apply intermediate math skills.
Ability to solve practical problems and deal with a variety of variables.
Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
Advanced analytical reasoning to include ability to forecast exponentials within work flow processes and reason against outside factors.
Knowledge of Microsoft Office Applications, Access or other database software.
ability to utilize or knowledge of call center telecommunications software
Ability to work some evening shifts, weekends, and overtime as needed

Responsibilities

Receive payment denials and to investigate the reason and rectify the situation with the payer or patient
Receive inbound and place outbound calls from and to customers, Medicare, Medicaid and Commercial insurance providers regarding patient accounts
Provide written correspondence to audit requests to include investigation and obtaining of appropriate documentation to be attached to response
Document status of billing and payment process in patient account for future follow-up
Keep current on payer requirements via research and coaching to ensure guidelines and procedures are being met for each payer
Answer and follow up on calls from patients with billing questions
Complete all end of month reports as requested, directed or assigned
Complete all internal system service ticket requests as assigned
Work miscellaneous projects and tasks on an as needed basis
Maintain a positive work atmosphere that embodies Liberator’s philosophy- Professional excellence, teamwork and integrity.
Maintains a production level between 20-40 accounts per day ensuring quality of work is above average.
Maintains a better than average attendance score
Performs other duties and tasks as assigned