Accounts Receivable Representative Ii

Roles & Responsibilities

​Responsibilities (80%)

• Reviews credit balance accounts; verifies refund/recoupment is appropriate and submitted within the established payer agreements.

• Posts adjustments related to errors identified through daily audit of credit balance accounts.

• Assigns tasks to Reimbursement Specialist to communicate missed or additional steps needed

• Reviews and resolves credit balances or over-payments within established payer turnaround times.

• Monitors daily posting of payments to capture new overpayments and schedules appropriate follow-up to ensure credit is worked timely.

• Collaborates with the Billing Supervisor and Refund & Reconciliation Analyst to ensure manual refunds are processed within established turnaround times.

• Generates daily, weekly, monthly, quarterly and annual reports tracking total credit balances pending and status of recoupments/refunds.

• Build strong, positive and professional relationships with Billing, Cash Application and Reimbursement Specialists

• Communicate and collaborate with the internal departments.

• Maintains strict confidentiality of patient personal information.

• Maintains HIPPA compliance.

• Understands business implications of decisions.

• Performs other duties as requested by supervisor or manager.

Processes, Procedures and Systems (10%)

• Reviews, understands and follows department policies, Standard Operating Procedures and job aides.

• Notifies Supervisor and Manager of any defects or enhancement opportunities for SOP’s and job aides.

• Assists with annual review of SOP’s and job aides.

​Mentoring and Special Projects (10%)

• Assists peers in answering processing questions and assists in training new hires

• Notifies Manager of any defects or enhancement opportunities for SOP’s and job aides

• Assists with annual review of SOP’s and job aides

• Assumes responsibility for credit/recoupment/refund related special tasks or assignments

• Serves as subject matter expert in the absence of the Manager

• Collaborates with external and internal team members and customers to create a positive experience for customers and minimizes days sales outstanding (DSO) and denials and maximizes cash collections​

Minimum Qualifications

• Bachelor’s degree or equivalent work experience or combination of secondary education and work experience in a healthcare related setting
• Four years of direct work experience related to medical claims billing/collection or two years of direct refund processing experience
• Two or more years of direct medical claims adjustment approval experience
• Proven excellent verbal and written communication skills
• Strong computer skills, including word processing and spreadsheet software​

Job Type: Contract

Pay: $22.73 per hour

Experience level:

• 3 years

Application Question(s):

• Are you Bachelor in Accounting or Commerce?
• Do you have analytical and dispute resolution skills?
• Do you have good communication skills?
• Please provide your Email address.

Education:

• Bachelor's (Preferred)

Experience:

• Accounting: 4 years (Preferred)
• Accounts Receivable: 4 years (Preferred)
• Reimbursement Specialist: 4 years (Preferred)
• Billing: 4 years (Preferred)
• Medical industry: 4 years (Preferred)
• credit and refund: 4 years (Preferred)

Ability to Commute:

• Minneapolis, MN 55446 (Preferred)

Ability to Relocate:

• Minneapolis, MN 55446: Relocate before starting work (Required)

Work Location: In person