Medical Accounts Receivable Representative

February 2

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Surgical Notes

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Medical Transcription • Medical Coding • Medical Billing • Document Management

51 - 200

💰 Private Equity Round on 2019-08

Description

• Work through book of AR and develop plan for maintaining proper coverage on all accounts. • Review aged accounts, trace and appeal unpaid and/or erroneously paid or denied accounts • Work all denials and underpayments received within 24 hours by researching steps previously taken and take additional action, as needed to resolve the claim. • Obtain pre-authorizations as needed. • Work tickler accounts daily to ensure overall health of client accounts receivable. • Review and address correspondence daily, including emails from clients • Identify trends and inform client lead/manager, as appropriate • Escalate issues to client lead/manager, as appropriate • Other responsibilities as assigned.

Requirements

• High school diploma or equivalent • Experience with medical billing • Experience working with surgical claims and denials • Proven experience working payer denials including but not limited to commercial, government, out of network, workers compensation, and auto-vehicle • Proficient with MS Outlook, Word, and Excel • Strong interpersonal and persuasive abilities in order to secure accurate and timely payment from patients • Ability to work in a fast-paced environment • Outstanding communications skills; both verbal and written • Positive role model for other staff and patients by working with them to promote teamwork and cooperation • Ability to apply commonsense understanding and logic in day to day activities. • Ability to work independently and as part of a team • Strong attention to detail and speed while working within tight deadlines • Exceptional ability to follow oral and written instructions • A high degree of flexibility and professionalism • Excellent organizational skills • Preferred Knowledge, Skills, Abilities & Education: Associate’s Degree in Healthcare Management, Business Management or a related field • Experience with healthcare billing and collections • Experience working in an Ancillary/Ambulatory Surgery Center (ASC) • Paragon and/or athenahealth experience • Strong Microsoft Office skills in Teams • A working knowledge of IPAs and health plans is required. • Comfortable with electronic and manual payor follow-up. • Able to quickly identify trends and escalate, as appropriate. • Ability to read, analyze and interpret insurance plans, financial reports, and legal documents.

Benefits

• Full-Time Hourly Non-Exempt • Eligible for Benefits • Remote: The minimum bandwidth requirements are 10 Mbps upload and 50 Mbps download speeds. The recommended bandwidth requirements are 20 Mbps upload and 100 Mbps download speeds.