Sr. Accounts Receivable Representative

OneOncology

1d•Remote

About The Position

The Sr. Accounts Receivable Representative is responsible for timely and accurate processing of health insurance claims with various insurance companies. The role also supports Accounts Receivable representatives in resolving issues and provides leadership and guidance. The position leads a team, helps maintain the third-party accounts receivable revenue cycle, and performs claim research, follow-up, appeals, correspondence, and related office work.

Requirements

High school diploma or GED.
At least seven years of Accounts Receivable follow-up experience.
Proficient knowledge of medical terminology, ICD-9, and CPT-4 codes.
Proficiency with Microsoft Excel and Word.
Accurate and efficient data-entry skills.
Excellent customer-service skills.
Strong written and verbal communication skills.
Proficient computer software and database skills.
Strong attention to detail.
Ability to multitask and work in a fast-paced environment.
Attendance is an essential job function.

Nice To Haves

Certified Coding Certification.
Familiarity with medical billing software.

Responsibilities

Lead a team of Accounts Receivable representatives and proactively assist in managing their performance and development.
Manage day-to-day problem-solving and serve as an expert on medical claim matters.
Assist the A/R Manager in maintaining a properly functioning third-party A/R revenue cycle.
Recommend revisions to policies and procedures to support regulatory compliance and excellent customer service.
Assist in hiring qualified team members and mentor and motivate productivity, innovation, employee morale, and organizational commitment.
Research authorizations, work with providers, and manage pended claims in a timely manner.
Maintain a balance of health insurance claims with fewer than 35 average days outstanding.
Identify non-payment trends or procedural roadblocks and report them to the Supervisor as needed.
Prepare special claim projects, maintain project work and communication logs, use resources effectively, organize information and files, and meet project deadlines.
Compose and prepare documentation for appeals.
Process insurance carrier correspondence in a timely and professional manner.
Stay current on carrier websites for information relevant to the practice.
Perform other office duties as assigned by the manager.
Perform additional responsibilities as assigned to help advance the mission of improving the lives of everyone living with cancer.