Accounts Receivable Representative managing medical billing and overturning denied claims. Working remotely or hybrid with essential client and team communication.
Responsibilities
Working in multiple practice management systems and other workflow technologies
Receiving client inquiries and addressing them in a timely manner as they relate to unpaid insurance claims
Checking payer portals for insurance claim statuses
Participating in team meetings and client meetings
Working with leadership to increase client collections i.e., getting additional insurance claims paid
Learning how to prioritize a work queue for maximum efficiency
Having fun, building relationships, and contributing towards maintaining positive team morale
Call insurance carriers to obtain timely processing of patient claims
Calling payers to understand why insurance claims were denied or paid incorrectly
Document contract with insurance carriers and estimated payment date
Provide information to expedite claim processing
Review and understand system notes
Successfully meeting facility goals and KPI’s
Attach appropriate documentation (i.e., Op Note, Invoice, etc.)
Review claims to ensure fields are complete and accurate
Maintain daily record of activities
Use system reports to manage accounts receivable (AR)
Prioritize accounts based on high dollar and days in AR
Document write-offs and submit refund requests
Maintain batch logs in a file by date
File activity into monthly charts by facility
Requirements
1+ years of experience in medical billing or accounts receivable
Experience using Epic or NextGen software is highly preferred
High school diploma or equivalent
Knowledge and experience using various Electronic Medical Record programs
Knowledge of commonly used medical coding and billing terms and concepts
Possess an exceptional customer service mindset with a focus on high-quality delivery
Consummate team player
Detail-oriented, investigative skills and problem-solving skills
Work with a sense of urgency
Task oriented
Organized and attention to detail
Ability to communicate in a professional atmosphere and be comfortable on the phone for the majority of the day.
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