Associate Accounts Receivable Representative

Job Description

JOB DETAILS

REQUIREMENTS

• High School Diploma or GED
• Denials and appeals experience
• Familiarity with EOB and reading medical policies from payers
• Healthcare experience

RESPONSIBILITIES

• 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
• Effectively and independently handles second level reimbursement issues, contracted and non-contracted denials for serviced before and after procedures
• This is a fast-paced environment, which requires attention to detail, accountability, teamwork, and professional behavior and a focus that extends to patients, clients and other departments.
• Works closely with payer provider relations representatives
• Contacting insurance companies by email and/or phone to collect payments
• Handles contracted and non-contracted; HMO, PPO, EPO, POS, Worker’s Com., self-pay and third-party reimbursement issues.
• Works all denials and corrected claims collaborating with the biller and/or Business Office Manager, insurance payers and/or patients on past due accounts
• Primary functions are credit balance management, patient balance resolution and non-patient (insurance) resolution
• Work closely with insurance companies and third-party payers to collect revenue for surgical services performed.

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