Accounts Receivable Representative II (Remote)
Full Time
Raleigh, NC 27616
Posted
Job description
Principal Duties and Responsibilities
- Under the direct supervision of the Collections Supervisor or Manager, the Accounts Receivable Representative 2 is responsible for the effective and efficient denied claims management for assigned payers. Responsible for working high volume collection reports and correspondence, auditing accounts, submitting all levels of appeals for denied claims as necessary, updating accounts as needed, and identifying carrier-related denial trends. Maintains a thorough knowledge of all-payer types to include CMS billing guidelines as well as the ability to interpret the content of managed care contracts.
- Reviews evaluate, and forwards manual paper claims to payers that do not accept electronic claims or that require special handling.
- Documents billing activity on the patient account; ensures compliance with all applicable billing regulations and reports any suspected compliance issues to departmental leaders.
- Reviews claims for accuracy and coordinates with ancillary departments as needed to provide information for audits and/or record reviews.
- Based on electronic payers’ error reports, makes appropriate corrections to optimize the electronic claims submission process.
- Pursues prompt follow-up efforts on aged accounts, which may involve helping to formulate written appeals.
- Accurately documents all follow up on the account to ensure there is an accurate record of the steps taken to collect on an account.
- Monitors claim rejections for trends and issues; reports these findings to the lead biller and other departmental leaders.
- Practices excellent customer service skills by answering patient and third-party questions and/or addressing billing concerns in a timely and professional manner.
- Assists in reviewing and/or resolving credit balances.
- Participates in general or special assignments and attends required training.
Position Qualifications:
Education:
- High school diploma or equivalent certification required
- Associate degree preferred
Experience:
- 2 to 4 years of customer service and/or business office experience preferred in a medical setting
- Knowledge of basic patient accounting processes and healthcare terminology strongly preferred
Knowledge, Skills, Abilities:
- Strong computer skills (including MS Word and Excel).
- Ability to maintain accuracy while working on multiple tasks in a fast-paced environment under low-to-moderate supervision.
- Excellent verbal and written communication skills, including professional telephone etiquette.
- Ability to ensure confidentiality of sensitive information and maintain HIPAA compliance.
- Dependable in both production and attendance.
- Exceptional organization and time management skills.
Total Rewards
- Salary: $14.80-22.20 per hour
- Generous benefits package, including:
- Paid Time Off
- Health, life, vision, dental, disability, and AD&D insurance
- Flexible Spending Accounts/Health Savings Accounts
- 401(k)
- Leadership and professional development opportunities
colinoncars.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, colinoncars.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, colinoncars.com is the ideal place to find your next job.