Senior Accounts Receivable Representative

United Vein & Vascular Centers•Tampa, FL

About The Position

The Sr. Accounts Receivable Representative is responsible for prompt and accurate follow-up of all unpaid claims within eClinicalWorks, with specific focus on claims for our specialty lines of business, such as OBL and Wound Care claims. The Sr. Accounts Receivable Representative will also support the AR Manager with presenting payer trends / denial details with internal and external customers, as needed.

Requirements

3+ years of Accounts Receivable experience in a medical setting
Proficiency working with MS Office
Knowledge of insurance payer nuances

Nice To Haves

Working knowledge of eClinicalWorks preferred but not required

Responsibilities

Follow-up on all unpaid/denied claims with insurance carriers – working accounts to resolution.
Conduct studies/special projects to resolve outstanding accounts receivable and address payer trends.
Review assigned accounts to determine appropriate action needed with regards to claim resolution, appeals and resubmissions.
Work all incoming correspondence including refund requests.
Compare progress notes to LCD’s and medical coverage guidelines.
Review medical documentation for medical necessity
Demonstrates and promotes a work culture committed to UVVC’s Core Values: understanding, nurturing, ingenuity, trust, excellence, and diversity, equity and inclusion.
Demonstrates behaviors that are consistent with UVVC’s Standards of Conduct as outlined in our Employee Handbook.
Maintains the confidentiality and security of Protected Health Information (PHI) in accordance with UVVC policies, the Health Insurance Portability and Accountability Act (HIPAA), and other applicable laws and regulations. PHI is a top priority of our organization.
Ability to establish and maintain effective professional working relationships with all employees.
Other related duties as assigned.