Medical Accounts Receivable Representative (Level Two)

California Medical Business Services•Arcadia, CA

4d•Onsite

About The Position

Huntington-Hill Imaging Center, managed by California Medical Business Services, LLC (CMBS), is seeking a full-time Accounts Receivable Representative—Level Two to support its Billing team. The position is based at the company’s business office in Arcadia and is scheduled for 40 hours per week, Monday through Friday, 7:20 a.m. to 4:00 p.m., with occasional Saturday overtime as needed. Remote work may be available after successfully completing the introductory period and meeting goals. The listed pay rate is $23.50 per hour. The representative will have demonstrated proficiency in the requirements of previous levels and be able to cover those positions, while focusing primarily on clients’ unpaid insurance accounts. The role involves contacting insurers and patients by phone and internet on behalf of multiple practices and specialties. Level Two proficiency includes an average of at least $25,000 brought in monthly as a direct result of actions taken on denials and/or insurance ticklers. The representative also tracks reimbursement-policy changes and communicates them to other A/R team members. The work is performed primarily in a standard office environment with extensive public contact and frequent interruptions. The position includes handling sensitive healthcare and business information, including protected health information, and requires appropriate data security and privacy practices. CMBS considers applicants with criminal histories in accordance with applicable law; any background check may occur only after a conditional offer.

Requirements

High school diploma or GED.
At least 1 year of experience in medical billing and collections, or completion of an accredited medical billing course.
Experience in an office setting using the telephone and computer as primary instruments for performing job duties.
Basic proficiency with computers and Windows PC applications, including the ability to learn new and complex computer system applications.
Basic proficiency with Microsoft Office and website navigation.
Typing speed of at least 40 words per minute.
10-key skills and basic math skills.
Understanding of healthcare claims.
Strong ability to multitask.
Knowledge of ICD-10, HCPCS, and CPT coding.
Knowledge of insurance types, including HMO, PPO, Medicare, and Medi-Cal.
Knowledge of Microsoft Word, Excel, and Outlook.
Ability to communicate professionally in writing and verbally.

Responsibilities

Apply knowledge of CMBS billing software, Imagine.
Understand insurance denial codes and take appropriate action to resolve denials.
Verify the status of unpaid claims online or by phone.
Complete insurance appeals through websites or, when unavailable, using paper appeal forms.
Work an average of at least 30 accounts per day, measured weekly.
Maintain accountability for accounts placed on hold or reassigned.
Follow up on accounts receivable claims over 45 days old, or older when required by insurance contracts.
Enter legible account notes and review prior notes before taking action.
Identify system issues and bring them to management’s attention with possible solutions or suggestions.
Contribute to team goals and participate in special projects.
Keep up with changes in reimbursement policies and communicate changes to other A/R team members.
Contact insurers and patients by phone and internet regarding unpaid insurance accounts.
Maintain appropriate handling of protected health information and other confidential information.