AP/AR Clerk

TalentBurst•Lake Mary, FL

3d•Onsite

About The Position

In this role, you will handle and resolve all Insurance follow up and denial issues to ensure that company receives correct reimbursements from the insurance companies. The incumbent will serve as the liaison between insurance companies, patients and the departments to ensure the claims are processed and followed up to meet companies goals of Account Receivable Days, Aging Account percentages and Cash goals. They will also research and answer all questions and complaints, regarding patient responsibility balances and billing inquiries sent to them through the customer call center with the highest degree of courtesy and professionalism. Needs someone that would be able to work the process end to end if needed. Research and resolve payment discrepancies. Review and manage the AR aging report and provide explanations of past due balances to management. Work aged accounts on assigned payers prioritizing accounts that are approaching timely filing denial. Identify issues or trends with accounts and provide suggestions for resolutions. Escalate exhausted appeals efforts for resolution with payer. Performs assigned Revenue Cycle duties as directed by the Revenue Cycle Supervisor. Able to submit a root cause analysis report. Prepare write off requests as needed for any uncollectable balances. Keeps supervisor informed of areas of concern and problems identified. Provide training to new and existing staff members as instructed by supervisor. Use and follow company procedures in training. Quality check work to ensure accuracy, efficiency and uniformity. Re-train staff as often as needed. Ensure staff complete all assigned tasks in a timely manner and that they have the resources and tools to perform their jobs. i.e. access to software. Advise supervisor immediately if they do not. Review/knowledge of contracts to determine correct reimbursement for each account. Analyze and document A/R problems and implement processes to enhance efficiencies. Documenting accurate and appropriate notes on corresponding systems as needed. Outgoing correspondence (internal or external) must be written in a clear, concise, and professional manner. Provide coverage as needed to include performing staff’s work during their absences as assigned by management. Assist in areas of needs as assigned by supervisor. Maintains positive and regular results-oriented communication with payer representatives. Navigate and works all payer websites. Provide support to staff as needed. Enroll in payer newsletters and advise manager of needs. Performs any other functions as requested by management. Initiate appeals to payers following the guidelines outlined for that payer. Note account and track appeal to resolution. Utilizes strong communication and customer service skills. Consistently practices good judgment and problem-solving skills when handling confidential information. Regular attendance and punctuality. Performs any other functions as requested by management.

Requirements

Previous posting and tracking of payments and collection experience.
Researching payment discrepancies.
Proficient computer skills.
Ability to work the end to end process if needed after training.
High school diploma or GED required.
Excellent verbal and written communication skills, including ability to effectively communicate with internal and external customers.
Excellent computer proficiency (MS Office – Word, Excel and Outlook).
Must be able to work under pressure and meet deadlines, while maintaining a positive attitude and providing exemplary customer service.
Ability to work independently and to carry out assignments to completion within parameters of instructions given, prescribed routines, and standard accepted practices.
Exhibits customer and service-oriented behaviors in every day work interactions.
Demonstrates a courteous and respectful attitude to internal workforce and external customers.
Treat others with unconditional respect, dignity and equality.
Provides accurate and timely written and verbal communication of information in a manner that is understood by all.
Able to listen, understand, problem-solve, and carry-out duties to ensure the optimal outcome.
Able to use IT systems in an accurate and proficient manner.
Contributes toward effective, positive working relationships with internal and external colleagues.
Demonstrates cooperation, flexibility, reliability, and dependability in all daily work activities and a willingness to collaborate with others for the good of the customer and the organization.

Nice To Haves

Associate degree preferred.
Level one representative 1 to 3 years of experience.
Level two representative 3 to 5 years of experience.
Level three representative 5 or more years of experience.

Responsibilities

Handle and resolve all Insurance follow up and denial issues.
Serve as the liaison between insurance companies, patients and departments.
Research and answer questions and complaints regarding patient responsibility balances and billing inquiries.
Research and resolve payment discrepancies.
Review and manage the AR aging report and provide explanations of past due balances to management.
Work aged accounts on assigned payers prioritizing accounts that are approaching timely filing denial.
Identify issues or trends with accounts and provide suggestions for resolutions.
Escalate exhausted appeals efforts for resolution with payer.
Perform assigned Revenue Cycle duties as directed by the Revenue Cycle Supervisor.
Submit a root cause analysis report.
Prepare write off requests as needed for any uncollectable balances.
Keep supervisor informed of areas of concern and problems identified.
Provide training to new and existing staff members as instructed by supervisor.
Quality check work to ensure accuracy, efficiency and uniformity.
Re-train staff as often as needed.
Ensure staff complete all assigned tasks in a timely manner and that they have the resources and tools to perform their jobs.
Review/knowledge of contracts to determine correct reimbursement for each account.
Analyze and document A/R problems and implement processes to enhance efficiencies.
Document accurate and appropriate notes on corresponding systems as needed.
Write outgoing correspondence (internal or external) in a clear, concise, and professional manner.
Provide coverage as needed to include performing staff’s work during their absences as assigned by management.
Assist in areas of needs as assigned by supervisor.
Maintain positive and regular results-oriented communication with payer representatives.
Navigate and work all payer websites.
Provide support to staff as needed.
Enroll in payer newsletters and advise manager of needs.
Initiate appeals to payers following the guidelines outlined for that payer.
Note account and track appeal to resolution.
Consistently practice good judgment and problem-solving skills when handling confidential information.
Maintain regular attendance and punctuality.
Present ideas for improvements and strategies to meet goals.
Offer viable solutions to problems.
Promote teamwork, remaining available to assist staff as needed.
Report to manager any non-compliance with staff as observed.
Participate in personal development training and cross training as instructed by management.