Representative II, Accounts Receivable

Accounts Receivable Specialist II

Hybrid or remote position Schedule : Monday - Friday, 8 : 00am - 4 : 30pm

Contracts and Billing is responsible for finance related activities such as customer and vendor contract administration, customer and vendor pricing, rebates, billing (including drop-ships), processing chargebacks and vendor invoices and developing and negotiating customer and group purchasing contracts. Demonstrates knowledge of financial processes, systems, controls, and work streams. Demonstrates experience working collaboratively in a finance environment coupled with strong internal controls. Possesses understanding of service level goals and objectives when providing customer support. Demonstrates ability to respond to non-standard requests from vendors and customers. Possesses strong organizational skills and prioritizes getting the right things done.

The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope of responsibilities as dictated below with guidance and support from AR & Billing leadership teams.

Responsibilities

• Processes claims : investigates insurance claims; and properly resolves by follow-up & disposition.
• Verifies patient eligibility with secondary insurance company when necessary.
• Bills supplemental insurances including all Medicaid states on paper and online.
• Mails all paper claims.
• Acts as a subject matter expert in claims processing.
• Manages billing queue as assigned in the appropriate system.
• Manages and resolves complex insurance claims, including appeals and denials, to ensure timely and accurate reimbursement.
• Processes denials & rejections for re-submission (billing) in accordance with company policy, regulations, or third-party policy.
• More challenging claim cases
• Investigate and updates the system with all information received from secondary insurance companies.
• Ensures that all information given by representatives is accurate by cross referencing with the patient's account, followed by using honest judgement in any changes that may need to be made.
• Processes denials & rejections for re-submission (billing) in accordance with company policy, regulations, or third-party policy.
• Updates patient files for insurance information, Medicare status, and other changes as necessary or required.
• Keeps email inbox requests up to date at all times; checks for new messages on an hourly basis.
• Mentors new hires; assists
• Assists management and team lead with motivating and coaching employees to succeed as needed.
• Maintains accurate and detailed notes in the company system.
• Adapts quickly to frequent process changes and improvements.
• Is reliable, engaged, and provides feedback as to improve processes and policies.
• Attends all department, team, and weekly company meetings as required.
• Appropriately routes incoming calls when necessary.
• Meets company quality Meets patient service quality standards.

Qualifications

2-3 years of experience, preferred

High School Diploma, GED or equivalent work experience, preferred

What is expected of you and others at this level

Effectively applies knowledge of job and company policies and procedures to complete a variety of assignments

In-depth knowledge in technical or specialty area

Applies advanced skills to resolve complex problems independently

May modify process to resolve situations

Works independently within established procedures; may receive general guidance on new assignments

May provide general guidance or technical assistance to less experienced team members

Anticipated hourly range : $15.00 $22.57 / hour

Bonus eligible : No

Benefits : Cardinal Health offers a wide variety of benefits and programs to support health and well-being.

Application window anticipated to close :

The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidates geographical location, relevant education, experience and skills and an evaluation of internal pay equity.

Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply.

Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity / expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law.