Sr Accounts Receivable Representative

Essentials

• Provides departmental leadership, through example, by performing in a lead capacity, including but not limited to, training new and existing employees on the Accounts Receivable processes, adhering to work schedules, and continuing above average productivity and quality of assigned work
• Oversee the staff’s monthly quality production quotas for assigned individuals on their team, work with the assigned Supervisor and/or Manager to represent the interests of management
• Sure the staff is meeting the established workflow goals within the targeted completion schedule
• Provides technical assistance to the Accounts Receivable Representatives including running IDX queries, PCS Workfile Management, and IDX Bar applications as needed
• Must be able to generate system and query reports to assist in the identification of issues related to the assigned billing sites and carriers being reviewed
• Conducts claim status on unadjudicated claims for their assigned facilities via phone calls to the carrier, website links, and system generated reports
• Identifies issues, problems, errors, or changes preventing the billing center from billing claims or carriers from adjudicating claims, and communicates the issues with examples to the Accounts Receivable Management Supervisor/Manager to help resolve the issues at the Operational Level
• Covers projects requested from the Accounts Receivable Supervisor/Manager, as well as provides responses to questions from Billing Center, Affiliate, and Corporate Management regarding the financial performance of their facilities and the expected reimbursement, including updates on projects and assignments
• Assesses issues presented by the staff and compiles a Monthly Issues Report for the Accounts Receivable Supervisor/Manager
• Consistently meet established completion times for projects and assignments

Qualifications / Experience

• High School Diploma or equivalent
• Thorough knowledge of Physician Billing Policies and Procedures
• Computer literate with proficiency with Microsoft Excel, Lotus Notes, Microsoft Word
• IDX Billing System experience a plus
• Able to work in a fast-paced environment and multi-task
• Excellent follow-up, judgment, and reasoning skills
• Excellent organizational skills
• Must be flexible, dependable, and able to meet deadlines
• 2-3 years of experience in an Accounts Receivable position or 3-5 years in physician medical billing
• Knowledge of medical billing guidelines in multiple states preferred