Accounts Receivable Representative - Bloomfield Surgery Center

Responsibilities

• Work closely with insurance companies and third-party payers to collect revenue for surgical services performed.
• This role is primarily focused on collecting payments from insurance companies as opposed from collecting from self-payers/individuals.
• 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.
• 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 meeting and maintaining cash collection metrics and goals.
• Effectively and independently handles second level reimbursement issues, contracted and non-contracted denials for serviced before and after procedures.

Qualifications

• One or more years’ experience in a related position working in a medical office, hospital, outpatient surgery center or related field with core duties related to medical insurance collections, billing, accounts receivable, A/R, collecting payments, collecting re-imbursements, or related training/certificates/diplomas.
• In lieu of on-the-job experience--- new or recent college and university graduates with a desire to work in a challenging position within the healthcare industry that have completed an Associate’s Degree or Bachelor’s Degree will be considered.
• Knowledge of MS Office including Excel and Word.
• PREFERRED QUALIFICATIONS: High school diploma, GED, related certificate/diploma of related training or Associate’s Degree or Bachelor’s Degree.
• Ideal qualifications include two or more years’ experience working specifically into medical insurance collections, billing, accounts receivable, A/R, collecting payments, collecting re-imbursements from payer organizations or from the insurance company side.
• Experience with Medical Billing Software and Applications.
• Possess basic knowledge of medical terminology and health insurance billing.
• Strong communication skills, both verbally and in writing.
• Customer service and patient service focus.
• Ability to multi-task, think critically, and solve problems.
• Ability to work in a fast-paced environment.