POSITION SUMMARY
PLEASE NOTE THAT THIS IS NOT A REMOTE POSITION!
The Accounts Receivable Representative is responsible for managing the insurance billing cycle process, for direct contact to the insurance companies and for following up on outstanding claims. Appeals denied claims and accesses databases to obtain eligibility information and claims status. The Accounts Receivable Representative may bill for assigned financial classes, assist with various reports, and provide other updates as assigned.
ESSENTIAL DUTIES
· Contacts insurance companies to verify claim status.
· Receives insurance calls concerning patient claims, reconciles any problems that may arise and collects on claims for services.
· Researches all account inquires, pulls EOBs and follows-through with insurance companies.
· Regarding ‘denials’ -- pulls EOBs to make sure the denial is correct, contacts the insurance company to verify, checks with patient to determine if they have different insurance and makes any necessary corrections.
· Researches any insurance refund denial checks being returned. Ensures proper posting of refund checks.
· Researches any missing payments or refunds. Accordingly, researches patient accounts for proper payment resolution.
· Researches refund requests, corrects the claim and processes a refund if appropriate.
· Resolves incorrect claim status to include “filed”, “hold”, “rejected” and “in progress” accounts.
· Appeals timely filing claims and any insurance decision that is deemed incorrect or not timely.
· Works all assigned insurance classes and keeps them current.
· Tracks requested documents from insurance companies.
· Presents outstanding high dollar claims at monthly AR meeting.
· Completes special projects as assigned.
· Files insurance documents after completion of task.
· Rebills claims (primary and secondary) that insurance carriers state they have not received.
· Maintains computer database and fee schedules for insurances and maintain cheat sheets for all insurances and services.
· Tracks insurance changes and inform staff in a timely manner.
· Performs other duties as assigned.
· Works collaboratively in a fast-paced environment.
Supervisory Responsibilities
None.
JOB SPECIFICATIONS
Education
High school diploma or equivalent.
Experience
At least one year of Medical Accounts receivable experience preferred
Knowledge, Skills and Abilities
· Thorough understanding of collection practices in a medical environment.
· Excellent people skills and impeccable organization skills.
· Resolving conflicts and remaining calm and composed in stressful situations, offering good listening skills.
· Exercising a high degree of initiative, judgment, discretion, and decision-making to achieve clinic’s mission.
· Researching, identifying and resolving problems with patient accounts.
· Establishing and maintaining effective relationships with patients and family members, insurance company representatives and fellow employees.
· Multi-tasking while also being highly detail-oriented.
· Dealing with frequent interruptions.
· Multi-suite computer skills.
· Strong math and analytical skills.
· Strong written and verbal skills.
· Knowledge of HIPAA laws pertaining to the medical office environment
· Effectively presenting information in one-on-one and small group situations to patients, physicians, insurance representatives and other employees of the organization.
· Reading and comprehending instructions, correspondence and memos.
· Skills in writing professional correspondence.
· Adding, subtracting, multiplying and dividing in all units of measure, using whole numbers, common fractions, and decimals.
· 10-key skills are helpful.
· Demonstrates integrity, credibility and a commitment to DAC’s mission.
Work Remotely
Job Type: Full-time
Pay: $19.00 - $25.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Employee discount
- Flexible spending account
- Health insurance
- Paid time off
- Vision insurance
Schedule:
Education:
- High school or equivalent (Preferred)
Experience:
- Microsoft Excel: 1 year (Preferred)
- Accounts receivable: 1 year (Preferred)
Work Location: In person