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Role Description

The Accounts Receivable Representative is responsible for collecting outstanding accounts receivable from patients and third-party payers.

• Phone insurance companies for status on outstanding claims.
• Process and follow up on appeals to insurance companies.
• Phone patients for payment or payment arrangements on outstanding balances.
• Print and re-file claims as needed.
• Work correspondence daily.
• Answer incoming patient, insurance company and physician office telephone calls.
• Research/audit patient accounts for further payment or adjustments.
• Work Analyzer reports as assigned.
• Maintain basic proficiency with using spreadsheets.
• Work outstanding Accounts Receivable from Collector Queue with proficiency within 30-60 days employment.
• Must be able to work 40-50 accounts daily.
• Maintain accuracy rating of 90% or greater on audited accounts.
• Meet productivity standards as set by the department.
• Maintain strictest confidentiality.
• Adhere to all company policies and procedures.
• Adherence to and compliance with information systems security is everyone’s responsibility.
• Know and follow Information Systems security policies and procedures.
• Attend Information Systems security training, when offered.
• Report information systems security problems.

Qualifications

• High-school graduate or equivalent.
• Associate or bachelor’s degree in business administration or related field of study is preferred.
• Two years of collection experience required; prefer experience in a health care organization.
• Skill in verbal and written communication.
• Basic math skills for calculating anesthesia units and proper reimbursement.
• Medical terminology knowledge.
• Basic knowledge of insurance processing, guidelines and laws.
• Knowledge of TWCC guidelines and laws.
• Knowledge of managed care, Medicare and Medicaid guidelines.
• Data entry skills.
• Knowledge of CPT, ICD-10 and ASA codes.
• Good problem solving skills.
• Decision making ability.
• Strong analytical skills.
• Skill in gathering and reporting information.
• Ability to work effectively with staff, physicians and external customers.
• Must have a pleasant disposition and high tolerance level.
• Must be able to work as part of a team.
• Ability to work independently with limited supervision.
• Skill in computer applications including MS Word, MS Excel and Compass 21.

Benefits

• Competitive Pay and Benefits Package.
• Annual Bonus.
• Generous Paid Time Off.
• 401K Contribution/Safe Harbor.
• Flexible Work Environment.
• Career Advancement Opportunities with a Growing Company.
• On-site Fitness Center and Café.
• Underground Parking with Badge Access.