Accounts Receivable Representative

Responsibilities

• Ensure payments by primary and secondary payers and/or self-pay patients are accurate
• Responsible for thorough and timely patient account follow up to ensure accurate accounts receivable reporting
• Accurate and timely follow up and resolution for all accounts receivable
• Maintain and meet cash collection metrics and goals
• Effectively and independently handle second level reimbursement issues, contracted and non-contracted denials for serviced before and after procedures
• Works closely with payer provider relations representatives
• Contacting insurance companies by email and/or phone to collect payments
• Handles contracted and non-contracted; HMO, PPO, EPO, POS, Worker’s Com., self-pay and third-party reimbursement issues
• Works all denials and corrected claims collaborating with the biller and/or Business Office Manager, insurance payers and/or patients on past due accounts
• Primary functions are credit balance management, patient balance resolution and non-patient (insurance) resolution
• Works closely with insurance companies and third-party payers to collect revenue for surgical services performed

Qualifications

• High School Diploma or GED
• Recent Healthcare Denials and appeals experience is required
• Must have familiarity with EOB and reading medical policies from payers
• PREFERRED: Medicare / Medicare Advantage Plans experience

Pay

USD $21.00/Hr.

Schedule

Monday - Friday with hours anywhere between 7am - 6pm your local time zone