Accounts Receivable Representative
Description
The Accounts Receivable Representative is responsible for following up on denied claims and outstanding account balances from all payors. Must be a Highly organized individual with excellent oral and written communication skills. The Accounts Receivable Representative must be able to work independently and when necessary, with other departments.
RESPONSIBILITIES:
Include but are not limited to:
1. Locate and monitor overdue accounts
2. Contact commercial/state insurance companies to check on status of claims payments and write appeal letters for denial on claims
3. Knowledge of the CMS uniform billing manual
4. Familiar with multi-faceted revenue and CPT codes
5. Ability to understand explanation of benefits
6. Ability to communicate effectively with all payors
7. Knowledge of commercial based payor contracts.
8. Understand workings of authorizations
9. Knowledge of Medicaid and Medicare billing requirements
10. Knowledge of auto insurance billing requirements
11. Follow up on secondary billings
12. Ensures HIPPA compliance and security of documents
13. Various other duties as requested
REQUIREMENTS:
1. Proficient computer skills
2. Exceptional mathematical knowledge
3. Exceptional communication skills
4. Ability to respond to questions in a tactful and professional manner
5. Strong problem-solving abilities
6. Ability to persuade and influence
7. Ability to be self-directed and work independently, yet contribute to team efforts as needed
8. 1-2 years insurance related experience
Requirements
EDUCATION AND EXPERIENCE:
1. High school diploma
2. Solid working knowledge of medical:
· Insurance
· Terminology
· Billing
· Coding
· Diagnosis
3. 3-5 years’ experience in medical field
4. Experience contacting insurance companies, and other entities as needed
Recommended Jobs
Teacher
Job Title: Teacher Job Status: Part-time Program Information: School assignments may be located in schools in the Detroit, Dearborn, and Public School systems. Hours and days vary by site: School …
Laboratory and Research Assistant - Environmental & Biological Sciences (TEMP)
Apply Now Job Summary Support instructional and research laboratory operations within the Biological Sciences of the Department of Natural Sciences, under the supervision of the Biological Scien…
Business Development Manager II
Position Summary/Essential Functions: Directs and generates aftermarket business opportunities for the Control Flight Control Division and Hydraulic Systems Division. Position to be based in Kalam…
Full Time Primary Care Physician Job Kalamazoo, MI
The Inline Group - Full Time Hours:Flexible Schedule | Clinic Hours: Monday - Thursday 8 am - 8 pm; Friday 8 am - 6 pm Employed New Graduates Average Patients seen: 20-24 Call Schedu…
L&D | RN
Labor & Delivery Registered Nurse (RN) – Travel Nursing Job in West Bloomfield, Michigan Advance your nursing career as a Labor & Delivery Registered Nurse (RN) with this 13-week travel nursing ass…
Experienced Caregiver for Elderly Client
Caregiver Opportunities at CareOne Senior Care Are you a dedicated caregiver looking for more than just a job? At CareOne Senior Care, we carefully select our caregivers from the top 10% in the in…
Shuttle Driver, Waterford
What We Are Looking For As a Certified Community Behavioral Health Clinic, CNS Healthcare's mission is to serve the people of our communities. Our Drivers are valued members of our team who provid…
Used Car Manager
Job Description Job Description Lunghamer Auto Group is looking for a Rock Star Used Car Manager in Shiawassee County. This is an amazing Auto Group, growing by leaps and bounds and in search of …
Line Cook
Job Description Job Description Description: Job Title: Full-Time Line Cook Location: Blakes Tasting Room, Armada Job Type: Full-Time Reports to: Head Chef / Kitchen Manager Jo…
RN Registered Nurse - Wound Care Nurse
Join our Lahser Hills Care Center team! The Wound Care Nurse is a Registered Nurse on our clinical team who is responsible for providing primary skin care to residents under the medical direct…