Description
ROLE:
The Accounts Receivable Representative is responsible for preparing and submitting insurance claims for accounts to ensure timely reimbursement, investigating and processing refunds when warranted.
TASKS AND RESPONSIBILITIES:
- Prepare, edit and submit account billing in accordance with client contract or payer guidelines. Ensure all invoices are submitted accurately and timely per policy guidelines.
- Submit system contract/fee schedule changes when required to supervisor.
- Submit all required documentation with invoice. Updates facility daily census changes and performs required rebilling. Requests necessary documentation when missing from client, physician or patient as appropriate.
- Access client files if necessary to verify information.
- Respond to verbal and written client or responsible party inquiries regarding account status within policy and procedure timeline. Research accounts and document follow up appropriately.
- Resolve account discrepancies and prepare adjustments and refunds for approvals as necessary.
- Maintain accurate and complete records concerning billing activity on all accounts. Document in the system records.
- Address problems as they occur. Keep supervisor advised of area or compliance issues which may lead to untimely or inaccurate completion of invoice or claim submission.
- Complete all reports according to schedule.
- Perform other tasks as assigned to support the goals of the organization.
SKILLS|EXPERIENCE:
- High school diploma
- Good oral and written communication skills
- Proficient with computers
- One year medical claims processing experience preferred
PHYSICAL DEMANDS:
While performing the duties of this job, the employee is required to sit, handle or feel; talk and to hear. Specific vision abilities required by this job include close vision, depth perception and ability to adjust focus.
WORK ENVIRONMENT:
Standard office environment.
Shift: Full Time 40 hours- Monday through Friday.
Qualifications
Skills
RequiredClaims ProcessingNoviceMedical TerminologyNoviceTyping Skills Min 35 wpmNovice
PreferredCustomer ServiceNovice
Behaviors
Required
Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well
Team Player: Works well as a member of a group
Motivations
Preferred
Goal Completion: Inspired to perform well by the completion of tasks
Education
Preferred
High School or better.