Accounts Receivable Representative

November 4

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UnisLink

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Medical Billing • Revenue Cycle Management • Value-Based Care • ACO • Healthcare Organizations

501 - 1000

💰 Private Equity Round on 2022-05

Description

• As an Accounts Receivable Representative, you will play a crucial role in the Revenue Cycle Management (RCM) process, ensuring the timely and accurate processing of accounts receivable transactions. • This position requires a detail-oriented and proactive individual who can navigate the complexities of healthcare billing and collections. • You will play a pivotal role in contributing to the financial health of our clients by optimizing revenue streams and maintaining positive relationships with healthcare providers. • Create and submit claims for medical services rendered to insurance companies and patients. • Obtain supporting documentation, such as medical records, EOBs, Remits, Authorizations, referrals, etc., through email applications, scanning systems, Medicare remittance systems, etc. • Review denied physician billing medical claims to ensure coding was appropriate and make corrections as needed, contact insurance companies to resolve and recover denied claims. • Monitor aging reports for timely follow-up on unpaid claims. • Perform retroactive review of registration data to aid in the assurance of clean claim submittal. • Accurately document claim actions taken within patient account/claims, including resolutions. • Serve as a resource for problem solving issues related to registration, demographic, and insurance errors. • Work collaboratively with cross functional teams, Managers, and practice staff to resolve claim and account issues. • Adhere to HIPAA guidelines regarding confidentiality relating to the release of financial and medical information. • Ensure billing and coding are correct prior to sending appeals or reconsiderations to payers. • Review and identify trends or patterns of denials to prevent errors and improve conversion. • Assist and coordinate with coder and billing manager concerning claim coding problems. • Stay current with compliance and changing regulatory guidelines. • Demonstrate knowledge of coding and medical terminology to effectively know if claim denied appropriately and if appeal is warranted. • Support and participate in process and quality improvement initiatives. • Achieve goals set forth by supervisor regarding error-free work, transactions, processes, and compliance requirements. • Exhibit exceptional customer service skills, answering patient and insurance calls, prompt return and follow-up to all interactions, prompt response to requests for information, both internally and externally. • Deliver timely required reports to the management team, initiate, and communicate the resolution of issues, such as payor denial trends due to coding and billing errors. • Identify missing payments, overpayments, and analyze account credits. • Work with collaborative group to facilitate information and resolve charge questions. • Maintain accurate records of actions taken on behalf of clients to obtain reimbursement for medical services provided. • Aid in reconcilling deposit logs with posting reports to guarantee the integrity and precision of every transaction. • Follow UnisLink’s vision and mission with regards to exceeding customer expectations. • Promote UnisLink’s core values of Respect, Integrity, Customer Focus, and Continuous Improvement • Ensure confidentiality of sensitive information and that all communications are handled consistent with compliance policies. • Actively comply with all UnisLink policies and procedures. • Other duties as assigned.

Requirements

• Minimum of 3-5 years’ experience in a Physician Billing department working denials, appeals, insurance collections, and related follow-up is required. • Must demonstrate a solid ability to apply contract language in conjunction with a comprehensive understanding of claims denial appeal logic. • Extensive experience using search engines, Internet; ability to effectively use payer websites; knowledge and use of Microsoft Products, (i.e., Outlook, Word & Excel, etc.) • Knowledge of and competency with HIPAA compliance • Knowledge of accepted healthcare insurance billing practices • Strong customer service and communication skills, both written and verbal • Strong reasoning, critical thinking, analytical and mathematical skills. • Proven ability to work independently, flexibly shifting from big picture to detailed tasks, with high productivity, and regularly execute to deadlines.