The Accounts Receivable Representative manages claims, verifies information with payers, responds to inquiries, and resolves issues to ensure accurate billing and cash resolution.
- Prepare, edit and ensure all claims are submitted accurately and timely per payer contract and guidelines.
- Access client files and payer websites if necessary to verify information.
- Provide timely responses to all written correspondence inquiries regarding claim/account status.
- Manage claim assignments, via work queues and/or work lists and ensure proper follow up is performed on the accounts for cash resolution. Keep supervisor advised of any compliance, system(s), and/or payer trend issues which may lead to untimely or inaccurate completion of claim submission/resolution.
- Contact insurance carriers on a daily basis for claim status and patient information either by phone or website; determine reason for the lack of payment or underpayment.
- Complete all assignments according to schedule.
- Achieve and consistently maintain daily, weekly and monthly productivity and quality goals as determined by departmental needs and standards.
- Must have the ability to Identify/resolve claim and or payer issues as they occur.
- Perform other tasks as assigned to support the goals of the organization.
- Need high speed internet at home and dedicated work space.
#MBX
Pay Rate: $16-19 per hour
Qualifications Skills Preferred Identify/Resolve Problems Advanced Typing Skills Min 35 wpm Intermediate Time Management Advanced Microsoft Office Intermediate English written/verbal Advanced Customer Service Advanced Computer Skills Intermediate Communication Skills Advanced Claims Processing Intermediate Behaviors Preferred Thought Provoking: Capable of making others think deeply on a subject Team Player: Works well as a member of a group Enthusiastic: Shows intense and eager enjoyment and interest Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well Dedicated: Devoted to a task or purpose with loyalty or integrity Education Required High School or better. Equal Opportunity Employer/Protected Veterans/Individuals with DisabilitiesThis employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
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