We are looking for an experienced representative who will be responsible for the reviewing, noting, and distributing correspondence, insurance follow up when appropriate for correct payer information, etc. for denials, refund requests for the Billing team, and AR special collection projects as assigned. The position will assist in maximizing reimbursements,and maintaining a low receivables while maintaining excellent customer relations. The successful candidate must be a motivated self-starter with good critical thinking skills, be a team player, and be results driven.

Primary duties will include but are not limited to the following:

• Receives, researches and corrects all incoming denials and correspondence due to incorrect eligibility/registration
• Identify patterns and trends from payers and make recommendations for improvement
• EOB / correspondence to be worked and noted in patient accounts
• Recognize patterns or trends and inform manager, as well as, offer suggestions for improvement in work flow and processes, revenue collection, etc
• Responsible for the timely and accurate billing to and collection of monies from payors and/or patients
• Reviews patient accounts; identifies any missing information, follows up with appropriate departments and corrects accordingly
• Receives and answers inquiries from patients and insurance companies regarding charges and/or billing discrepancies
• Utilizes the practice management system to update, adjust, and process patient accounts; documents all follow up timely and accurately
• Reviews status of work queues and prioritizes job functions to ensure timely follow-up and resolution on patient accounts
• Reviews patient accounts with credit balances. Makes corrections, if needed and/or submits refund requests where appropriate

Requirements:

• High School Diploma or GED
• Broad knowledge of computer and practice management software; Cerner experience a plus
• Effective verbal and written communicate skills required; able to maintain professionalism with each encounter
• Ability to multi-task and prioritize needs to meet required timelines
• Minimum of three years of accounts receivable experience in an ambulatory setting
• Experience with collecting from private and government sponsored insurance agencies
• ICD-10 and CPT code knowledge

Qualified candidates should submit their resume via this ad for consideration.

Job Type: Full-time

Pay: $18.72 - $26.97 per hour

Benefits:

• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Work Location: One location

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