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.

• 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