Accounts Receivable Representative

Essential Duties And Responsibilities

• Electronically submits clean claims to all commercial payors through clearinghouse on a bi-weekly basis.
• Researches claims that do not pass through clearinghouse.
• Processes paper claims that cannot be handled electronically on a weekly basis.
• Receives and posts checks from commercial payors.
• Manually applies payments to client accounts.
• Researches incorrect payments with payors to determine what process issues exist.
• Stays current with bulletins regarding new policies/procedures.
• Ensures the Medicaid compliance monitoring workbook is appropriately completed.
• Ensures cash payments are correctly posted in NextGen and transferred to accounting for deposit.
• Responds to client and clinician requests by phone or email.
• Processes refunds for commercial insurance clients.
• Reviews client unapplied cash and applies when possible.

Qualifications

• High School diploma or equivalent is required.
• Certified Medical Biller/Coder designation and 2 - 3 years experience and knowledge of behavioral health billing/collection practices is preferred.
• Proficiency in Microsoft Office applications.
• Excellent verbal and written communication skills.
• Analytical and problem-solving abilities.
• The ability to multi-task in a fast-paced environment.
• Experience working for a Not for Profit and with Great Plains Microsoft Dynamics and NextGen is preferred.