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