Accounts Receivable Representative II

Job Description:

• Under the direct supervision of the Collections Supervisor or Manager, responsible for effective and efficient accounts receivable management of assigned payers.
• Collections efforts on outstanding accounts include telephone contact with payers, work collection reports and correspondence, audit accounts, appeal denied claims as necessary, update accounts as necessary, identify carrier related denial trends and meet departmental productivity standards.
• Coordinate the transfer of patient responsibility and work accounts that require additional insurance collection follow-up.
• Reviews, evaluates, and forwards manual paper claims to payers that do not accept electronic claims or that require special handling.
• Document’s billing activity on the patient account; ensures compliance with all applicable billing regulations and reports any suspected compliance issues to departmental leaders.
• Reviews claims for accuracy and coordinates with ancillary departments as needed to provide information for audits and/or record reviews.
• Makes appropriate corrections to optimize the electronic claims submission process based on electronic payers’ error reports.
• Pursues prompt follow-up efforts on aged accounts, which may involve helping to formulate written appeals.
• Accurately documents all follow up on the account.
• Monitors claim rejections for trends and issues; reports these findings to the lead biller and other departmental leaders.
• Practices excellent customer service skills by answering patient and third-party questions and/or addressing billing concerns in a timely and professional manner.
• Assists in reviewing and/or resolving credit balances.
• Participates in general or special assignments and attends required training.

Requirements:

• High school diploma or equivalent certification required
• Associate degree preferred
• 2 to 4 years of customer service and/or business office experience preferred in a medical setting
• Knowledge of basic patient accounting processes and healthcare terminology strongly preferred
• Strong computer skills (including MS Word and Excel)
• Ability to maintain accuracy while working on multiple tasks in a fast-paced environment under low-to moderate supervision
• Excellent verbal and written communication skills, including professional telephone etiquette
• Ability to ensure confidentiality of sensitive information and maintain HIPAA compliance
• Dependable in both production and attendance
• Exceptional organization and time management skills

Benefits:

• Paid Time Off
• Health, life, vision, dental, disability, and AD&D insurance
• Flexible Spending Accounts/Health Savings Accounts
• 401(k)
• Leadership and professional development opportunities