Medical Account Receivable Representative
- Telephone insurance carrier/patient to seek resolution on account
- Resolve inappropriate payments with insurance carriers that are not in compliance with payer contracts or governmental agency rates on individual accounts
- Utilize specialized knowledge of contracts, regulatory or contractual billings guidelines to determine an account’s ability to pay after initial rejection from payer
- Coordinate duplicate billings, coordination of benefits, medical records or clinical documents as needed to expedite payment of insurance claims
- Identify trends in payer non-compliance and inform management if not able to resolve with payer
- Negotiate within specified guidelines with payers
- Ensure secondary carrier is appropriately billed or self-pay portion is pursued
- Determine an individual’s ability to pay and seeks additional assistance either through governmental programs or uncompensated care programs
- Follows up with appropriate staff to locate missing information
- Ensure accurate and timely billing of all outstanding account balances to the appropriate third party payers and patient guarantors
- Maintain necessary logs
- Answer telephone calls as needed
- Assist with the planning and organization of departmental activities as needed and participate in said activities
- Participate in departmental meetings as necessary.
- Requirements:
- 1 year of Medical AR work
- Thorough knowledge of multi-specialty ICD-9 and CPT coding
- Billing and collections (both major insurance and self pay) experience
- EMR Knowledge
- Medicare Knowledge
- Hours for this position:
- Monday-Friday 8a-430p or 730a-4p; flexible!
- This is an immediate temp to perm position!
- Advantages of this opportunity:
- Competitive Salary $12-13.25 per hour
- Fun and positive work environment