Special Bills AR Rep

Responsibilities

• Create monthly invoices and send to clients/payers for review and reimbursement.
• Create and load payer contract rates into the billing system for accurate revenue recognition.
• Analyze accounts receivable reports to identify issues, research accounts, trends, and take corrective action.
• Research accounts: gather necessary documents like referrals, scripts, and medical reports, and contact hospitals if needed.
• Work with Explanation of Benefits (EOBs) to post rejection codes, follow up on denied claims, and appeal denials.
• Create and track written correspondence related to adjustments and refund requests.
• Maintain patient account information and resolve problems as needed.
• Excel with change and respond appropriately to challenges.
• Complete and submit required forms to insurance companies/payers.

Requirements

• Knowledge of medical terminology and a working knowledge of different types of insurance plans.
• High School Diploma (college degree preferred).
• General computer aptitude, including Microsoft Word, PowerPoint, and Excel skills (creating spreadsheets, using formulas, creating pivot tables, and creating PowerPoint presentations).
• Excellent verbal, written, and interpersonal communication skills.
• Dependable, excellent attention to detail, problem-solving ability, resourcefulness, and multitasking capability.
• Recent accounts receivable experience in a medical billing environment with a working knowledge of the healthcare industry, insurance/EOB/payment process.

Qualifications

• Communicates, cooperates, and functions professionally with all levels of supervision, co-workers, patients, visitors, and vendors.
• Demonstrates initiative, personal awareness, professionalism, and integrity.
• Exercises confidentiality in all areas of performance.

Skills

• Medical terminology knowledge.
• Working knowledge of different types of insurance plans.
• Computer skills (Word, PowerPoint, Excel).
• Verbal, written, and interpersonal communication skills.
• Problem-solving and multitasking abilities.
• Recent accounts receivable experience in a medical billing environment.

Benefits

• Flexible schedule.
• Professional development opportunities.
• Health and wellness programs.
• Employee assistance program.

Pay

$21.00 - $24.00 per hour.

Schedule

Hours are flexible and may vary based on department needs.