Accounts Receivable Representative - RCM Medical Billing

Why you’ll want to work at nimble!

This is a great opportunity to join a well-established and market-leading brand serving a high-growth end market while gaining valuable experience and visibility to Executive leadership. As an organization, we are in considerable growth mode through acquisitions and with a laser focus on positive culture-building.

As an Accounts Receivable Representative, you will primarily be on the phone with insurance companies, overturning denied claims. You will also write appeals to insurance companies to overturn denied/underpaid claims, as well as being exposed to a list of national payers working in multiple states, multiple systems, and collaborating with team members.

On a typical day, you will be:

• Working in multiple practice management systems and other workflow technologies
• Receiving client inquiries and addressing them in a timely manner as they relate to unpaid insurance claims
• Checking payer portals for insurance claim statuses
• Participating in team meetings and client meetings
• Working with leadership to increase client collections i.e., getting additional insurance claims paid
• Learning how to prioritize a work queue for maximum efficiency
• Having fun, building relationships, and contributing towards maintaining positive team morale
• Call insurance carriers to obtain timely processing of patient claims
• Calling payers to understand why insurance claims were denied or paid incorrectly
• Document contract with insurance carriers and estimated payment date
• Provide information to expedite claim processing
• Review and understand system notes
• Writing and submitting appeals
• Successfully meeting facility goals and KPI’s
• Attach appropriate documentation (i.e., Op Note, Invoice, etc.)
• Review claims to ensure fields are complete and accurate
• Maintain daily record of activities
• Use system reports to manage accounts receivable (AR)
• Prioritize accounts based on high dollar and days in AR
• Document write-offs and submit refund requests
• Maintain batch logs in a file by date
• File activity into monthly charts by facility