Representative II, Accounts Receivable

Cardinal Health • Doral, FL

83d • $15 - $22

About The Position

The Accounts Receivable Specialist is responsible for processing insurance claims and billing. They will work within the scope of responsibilities as dictated below with guidance and support from AR & Billing leadership teams. The position is part of the Contracts and Billing team, which is responsible for finance-related activities such as customer and vendor contract administration, pricing, rebates, billing (including drop-ships), processing chargebacks and vendor invoices, and developing and negotiating customer and group purchasing contracts. The role requires knowledge of financial processes, systems, controls, and work streams, as well as experience working collaboratively in a finance environment with strong internal controls.

Requirements

• 2-3 years of experience, preferred.
• High School Diploma, GED or equivalent work experience, preferred.

Responsibilities

• Processes claims: investigates insurance claims; and properly resolves by follow-up & disposition.
• Verifies patient eligibility with secondary insurance company when necessary.
• Bills supplemental insurances including all Medicaid states on paper and online.
• Mails all paper claims.
• Acts as a subject matter expert in claims processing.
• Manages billing queue as assigned in the appropriate system.
• Manages and resolves complex insurance claims, including appeals and denials, to ensure timely and accurate reimbursement.
• Processes denials & rejections for re-submission (billing) in accordance with company policy, regulations, or third-party policy.
• Investigates and updates the system with all information received from secondary insurance companies.
• Ensures that all information given by representatives is accurate by cross-referencing with the patient's account.
• Updates patient files for insurance information, Medicare status, and other changes as necessary or required.
• Keeps email inbox requests up to date at all times; checks for new messages on an hourly basis.
• Mentors new hires; assists management and team lead with motivating and coaching employees to succeed as needed.
• Maintains accurate and detailed notes in the company system.
• Adapts quickly to frequent process changes and improvements.
• Attends all department, team, and weekly company meetings as required.
• Appropriately routes incoming calls when necessary.
• Meets company quality and patient service quality standards.

Benefits

• Medical, dental and vision coverage
• Paid time off plan
• Health savings account (HSA)
• 401k savings plan
• Access to wages before pay day with myFlexPay
• Flexible spending accounts (FSAs)
• Short- and long-term disability coverage
• Work-Life resources
• Paid parental leave
• Healthy lifestyle programs

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Merchant Wholesalers, Nondurable Goods
• Education Level: High school or GED