Accounts Receivable Representative

IMS Care Center•Phoenix, AZ

41d•Onsite

About The Position

Headquartered in Phoenix, IMS Care Center is a team of 500 employees and a physician-led organization united through its providers’ commitment to high-quality innovative health care. Each day is a new day for ground-breaking ideas and unparalleled opportunity. Ours is a culture focused on what we can accomplish today, and where it can lead us tomorrow. IMS Care Center is currently searching for a professional, compassionate and knowledgeable individual to fill the position of Accounts Receivable Representative in our Neurology department. The Accounts Receivable Representative is responsible for the management of patient accounts receivable and posting payments in a timely manner by following the Department’s established policies and procedures.

Requirements

1 to 2 years minimum experience in A/R required, specifically medical office/physician billing and insurance claim -follow-up and denial management
In depth knowledge of AC, office administration and procedures, general bookkeeping, and accounting procedures
Strong oral communication skills
Ability to work with minimal oversight and supervision
Ability to perform multiple duties in a fast pace and high-volume environment
Demonstrated ability to interact effectively with peers and subordinates of all levels
Proficiency with Microsoft Office suite (Excel, PowerPoint, Word, Outlook)
Recognizes possible solutions to problems and is able to explain issues and propose solutions
Maintains customer confidence and protects operations by keeping confidential information
Contributes to team effort by accomplishing related results as needed
Strong customer service
Able to work alone and with a team
Strong follow-through

Nice To Haves

Bachelor’s degree, strongly preferred

Responsibilities

Assists in the daily activities of the Medical Office including basic coding, data entry, patient registration and claim review in an effort to resolve all patient inquiries and/or disputes
Responsible for the processing of medical claim insurance payments, patient payments, and applying insurance adjustments through data-entry
Responsible for managing the use of adjustment codes, contractual adjustment codes, non-contractual adjustments codes, and bad debt codes
Responsible for managing low reimbursements and determining when a reimbursement requires appeal
Research and processes insurance denials received from Explanation of Benefits (EOBs) and Account Receivable (A/R) reports by reviewing documentation and insurance/contract/coding guidelines (This process includes written appeals when appropriate; additionally, enters internal and external review decisions including charge adjustments, corrections, proper payment and resubmission of claims in the claims system)
Responsible for assisting with billing secondary claims and EOBs that need follow up
Responsible for reviewing and correcting claims that are suspended by the billing system
Assists in identifying accurate insurance
Updates/modifies insurance information with redirection of charges when appropriate
Identifies, researches, and prepares refunds to patients and insurances
Supports and assists in the follow up and identification of billing issues for outstanding claims
Remains current on billing and coding procedures and changes
Ensures accurate reimbursement is being received for services rendered
Balances daily batches and reports
Research and corrects discrepancies
Processes billing questions from insurance carriers and patients via telephone and face-to-face inquiry
Perform other duties as assigned