Accounts Receivable Representative

About the role

As an Accounts Receivable Representative, you will be responsible for trending, analyzing, and working medical claim denials from various payers including commercial, multi-state Medicare and Medicaid, HMO/PPO, and subrogation payers.

Responsibilities

• Initiate collection follow-up on underpaid and denied claims with assigned payers through reconsideration forms, appeals, or phone calls.
• Research and resolve claim rejections.
• Identify billing errors to be corrected by the coding team.
• Research insurance medical policies and guidelines.
• Respond to payer correspondence in a timely manner.
• Communicate payment or denial trends to management in a timely manner.
• Document all follow-up efforts and communication within the practice management system.
• Develop and maintain positive working relationships with team members.
• Other projects as assigned.

Requirements

• A minimum of an associate’s degree or equivalent experience in accounts receivable.
• Three years of accounts receivable experience working with payors.
• Proficiency with Microsoft Office, particularly Excel.
• The ability to read, analyze, and interpret insurance policies and guidelines.

Qualifications

The successful candidate must possess high attention to detail, strong analytical skills, and a high energy, self-motivated personality. They should also be able to effectively communicate with all levels of the organization and demonstrate a commitment to the SpecialtyCare Values: Integrity, Care, Urgency, and Improvement.

Skills

Highly valued skills include attention to detail, analytical abilities, and the ability to work collaboratively with colleagues.

Benefits

We offer a competitive benefits package which includes:

• Medical, vision, and dental insurance
• Life insurance
• 401(k) with employer match
• 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

Not specified