SUMMARY DESCRIPTION

The Accounts Receivable Representative will be responsible for thorough and timely patient account follow up to ensure accurate accounts receivable reporting; following up with insurance companies and/or third party payers to ensure payments by primary and secondary payers and/or self-pay patients are accurate and timely.  This is a fast-paced environment, which requires attention to detail, accountability, teamwork and professional behavior.

 

 

RESPONSIBILITIES

  • Work closely with insurance companies and third-party payers to collect revenue for surgical services performed
  • Contact insurance companies by email and/or phone to collect payments
  • Handle contracted and non-contracted; HMO, PPO, EPO, POS, Worker’s Comp, Self-Pay and Third-Party reimbursement issues
  • Work all denials and corrected claims , collaborating with the Biller and/or Business Office Manager, insurance payers and/or patients on past due accounts
  • Manage credit balances
  • Patient balance resolution and non-patient (insurance) resolution
  • Ensure payments by primary and secondary payers and/or self-pay patients are accurate
  • Responsible for thorough and timely patient account follow up to ensure accurate accounts receivable reporting
    • Accurate and timely follow up and resolution for all accounts receivable
    • Meeting and maintaining cash collection metrics and goals

     

     

     

    KNOWLEDGE, SKILLS, and ABILITIES

     

    • Ability to take ownership and leads by example.
    • Ability to contribute in a cross-functional collaborative environment.
    • Ability to learn quickly and work independently.
    • Self-motivated with the attitude and ability to be successful as part of a team.

     

    REQUIREMENTS

     

    • High School diploma of equivalent
    • Ideally two or more years’ experience working specifically in medical insurance collections, billing and/or accounts receivable.
    • Experience with medical billing software and applications
    • Possess basic knowledge of medical terminology and health insurance billing
    • Strong communication skills, both verbal and written
    • Customer service and patient service focus
    • Ability to multi-task, think critically and solve problems
    • Ability to work in a fast-paced environment