Accounts Receivable Representative
- Phone insurance companies for status on outstanding claims.
- Process and follow up on appeals to insurance companies.
- Phone patients for payment or payment arrangements on outstanding balances.
- Print and re-file claims as needed.
- Work correspondence daily.
- Answer incoming patient, insurance company and physician office telephone calls.
- Research/audit patient accounts for further payment or adjustments
- Work Analyzer reports as assigned.
- Maintain basic proficiency with using spreadsheets.
- Work outstanding Accounts Receivable from Collector Queue with proficiency within 30-60 days employment.
- Must be able to work 40-50 accounts daily.
- Maintain accuracy rating of 90% or greater on audited accounts.
- Meet productivity standards as set by the department.
- Maintains strictest confidentiality.
- Adhere to all company policies and procedures.
- Adherence to and compliance with information systems security is everyone’s responsibility. It is the responsibility of every computer user to: Know and follow Information Systems security policies and procedures. Attend Information Systems security training, when offered. Report information systems security problems.
- Perform other duties as assigned.
- High-school graduate or equivalent.
- Associate or bachelor’s degree in business administration or related field of study is preferred.
- Two years of collection experience required. Prefer experience in a health care organization.
- Skill in verbal and written communication.
- Basic math skills for calculating anesthesia units and proper reimbursement
- Medical terminology
- Basic knowledge of insurance processing, guidelines and laws
- Knowledge of TWCC guidelines and laws
- Knowledge of managed care, Medicare and Medicaid guidelines
- Data entry skills.
- Knowledge of CPT, ICD-10 and ASA codes
- Good problem solving skills
- Decision making ability
- Strong analytical skills
- Skill in gathering and reporting information.
- Ability to work effectively with staff, physicians and external customers.
- Must have a pleasant disposition and high tolerance level.
- Must be able to work as part of a team
- Ability to work independently with limited supervision.
- Skill in computer applications including MS Word, MS Excel and Compass 21.
- Competitive Pay and Benefits Package
- Annual Bonus
- Generous Paid Time Off
- 401K Contribution/Safe Harbor
- Flexible Work Environment
- Career Advancement Opportunities with a Growing Company
- On-site Fitness Center and Café
- Underground Parking with Badge Access
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