Accounts Receivable Clerk

Position Responsibilities

• Communicate directly with insurance companies to check the status of claim submissions.
• Perform insurance claim follow-up for insurance denials, rejections and appeals; ability to post cash from an insurance EOB/ERA with an understanding of benefits, copayments, coinsurance, deductibles, and denial codes; assist with other billing/collection duties as needed.
• Manage the billing system to ensure all claims, fee schedules and contracts are in compliance with payor requirements.
• Collaborates with our billing software company to resolve any system issues and performs regular software testing/updating as needed.
• Function in a team-oriented environment, display strong analytical, investigative and organizing skills with a high attention to detail and follow through in order to maintain productivity while managing a high volume of work.
• Posts payments and handles rejections/denials and account reconciliation.
• Resolving unpaid claims with insurance companies;
• Respond to inquiries from insurance carriers, via telephone, email or fax and demonstrate a high level of customer service.
• Work all AR Reports on a monthly basis;
• Responsible for the effective collection of all Billings and Accounts Receivable.
• Knowledgeable in 837, 835 and 277 processes
• Advise the Revenue Cycle Manager of any trends regarding insurance denials or rejections to identify problems with particular payers.
• Knowledge of government, managed care and commercial insurances, claim submission requirements, reimbursement guidelines, and denial reason codes.
• Effectively prioritizes work assignments;
• Perform Monthly meeting with the program directors on the health of their AR
• Other billing duties as assigned;
• Defines application problems by conferring with programs, evaluating procedures and processes.

Qualifications

• High School Diploma required
• A minimum of three (3) years' related experience required.
• Experience with electronic billing/medical records system required.
• Credible experience a plus.