Medical Accounts Receivable Representative

Job Description

REQUIREMENTS

• High school diploma or equivalent.
• Minimum of 2 years of experience in medical accounts receivable, with a focus on NJ PIP and/or out-of-network billing.
• Strong understanding of PIP regulations, billing procedures, and insurance guidelines.
• Previous experience with NJ post-service PIP appeals and arbitration since the 2017 regulation changes is a strong plus.
• Proficiency in medical billing software and electronic health record (EHR) systems.
• Excellent communication and interpersonal skills.
• Strong attention to detail and organizational skills.
• Ability to work independently and as part of a team in a fast-paced environment.

RESPONSIBILITIES

• Manage and oversee the collection of payments for medical claims.
• Track and follow up on outstanding accounts, ensuring timely resolution of underpaid, unpaid or denied claims.
• Handle inbound and outbound calls to insurance companies and attorneys to follow up on unpaid claims and address balance inquiries.
• Respond to client and attorney inquiries regarding billing and accounts receivable.
• Collect and prepare necessary documents for arbitration.
• Communicate with insurance companies, healthcare providers, and patients to address billing discrepancies and secure necessary documentation.
• Review and analyze accounts receivable reports, identifying trends and areas for improvement.
• Use Practice Management and Electronic Health Record (EHR) systems effectively.
• Navigate Explanation of Benefits (EOBs) and other insurance correspondence.
• Maintain accurate and organized records of billing activities, ensuring compliance with regulations and guidelines.
• Collaborate with the billing team to streamline processes and enhance efficiency.
• Provide exceptional customer service to patients, addressing billing inquiries and resolving concerns.
• Stay up to date with industry trends, updates, and changes in billing regulations and practices.
• Ensure patient privacy.
• Perform other duties as assigned.

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