Address
Form of work
SalaryAccounts Receivable Representative
Essential Duties
Full Time, Non – Exempt
Summary/Objective
Provide a quality overview of client assignment accounts by researching, reviewing, and monitoring claim processing, denials, and payments by payors.
Essential Duties
Phone calls to insurance companies on claim status, reprocessing, and appeals.
Work and complete daily tasks.
- Navigate and work with in insurance websites, verifying eligibility and checking claim status.
- Submit medical reports for review when requested
- Follow up on unpaid claims and research reasons for delay
- Successfully submit proper appeals and resolve claim rejections, underpayments and denials with payers by gathering correct information and resubmitting claims
- Effectively communicate payment or denial trending that impact revenue to leadership
- Maintain positive working relationships and attitude with clients
- Contact payers on a regular basis to resolve any discrepancies to get claims paid
Process any adjustments as needed using appropriate reason codes
Review and work aging reports
Review and processing accounts for collections each month
Knowledge of CMS1500, COB, PHI and other medical terminology
Core Competencies
Ability to multitask and prioritize daily work flow.
Good attention to detail.
Excellent communication skills (Verbal and Written).
Provide information regarding claims to insurance companies, attorneys, and other authorized parties while complying with HIPAA guidelines and regulations.
The ability to work collaboratively within the department and company.
Benefits:
As an eligible employee, you will receive a competitive salary and optional benefits including medical, dental and vision insurance, short and long-term disability coverage, life insurance, retirement plans, paid time off and paid holidays.
The Company is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
