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