Accounts Receivable Representative

Job Summary

As an Accounts Receivable Representative you are responsible for trending, analyzing and working medical claim denials from commercial, multi-state Medicare and Medicaid, HMO/PPO and subrogation payers as assigned. You will initiate collection follow-up on under paid and denied claims with assigned payers through reconsideration forms, appeals or phone calls to the payer. You will research and resolve claim rejections, identify billing errors to be corrected by coding team, research insurance medical policies and guidelines, respond to payer correspondence in a timely manner, document all follow up efforts and communication within practice management system, and develop and maintain positive working relationships with team members. Other projects as assigned.

Requirements

• Associate’s degree or equivalent experience
• Three years of accounts receivable experience working with payors
• Proficient with Microsoft Office, especially Excel
• Ability to read, analyze and interpret insurance policies and guidelines

Qualifications

• High attention to detail with the ability to analyze information
• High energy, self-motivated individual whose style is effective in working with all levels of the organization to drive performance and continuous improvement using an analytical and metrics based approach
• Lives the SpecialtyCare Values – Integrity, Care, Urgency, and Improvement

Benefits

• Competitive compensation
• Royalty-free benefits package that includes health, dental, vision, and life insurance plans
• Generous paid time off
• 401(k) with matching funds
• Tuition reimbursement
• Professional development and membership allowances

Pay

Hourly Wage Estimate: $22.00/hour (Several factors, such as specific skill set, education level, certifications and years of experience, are considered to determine actual compensation.)

Schedule

N/A

Skills

• Attention to detail
• Analytical skills
• Communication skills
• Interpersonal skills
• Microsoft Office proficiency, especially Excel
• Insurance policy and guideline interpretation

Benefits

• Health insurance
• Dental insurance
• Vision insurance
• Life insurance
• 401(k) with matching funds
• Paid time off
• Tuition reimbursement
• Professional development and membership allowances