A / R Rep

Accounts Receivable Representative

Baptist Health Medical Group is looking for an Accounts Receivable Representative to join their team. This is a remote work position that requires residency in KY or IN.

Under the direction of the Medical Group's CBO Supervisors and Managers, the Accounts Receivable Representative is responsible for CBO related duties such as billing, follow-up, claim edits, credits, provider enrollment review, and other billing-related projects, cash posting and payer underpayment resolution, customer service, and / or administrative functions.

Essential Duties :

• Consistently manage and prioritize claim edit work queues to ensure all accounts are corrected and submitted timely and accurately.
• Review previous notes, correspondence, and document actions taken on account in the Practice Management System.
• Follows up on unpaid claims, identifies overpayments, and initiates refunds and adjustment process to ensure accurate and timely submission.
• Perform account reconciliations and analysis to ensure accuracy and completeness of invoices.
• Maintains working knowledge of payor policies applicable to assigned work group.
• Works closely with the supervisor or manager in the department to report denial trends and follow up with the payer.
• Works Customer Service inquiries from patients and others to include written requests, emails, and / or answerphones.
• Works with all other revenue cycle departments and practices to resolve any outstanding encounters.
• Maintain productivity and quality standards as set by CBO leadership.
• Maintains an acceptable average "Quality Review" score as set by CBO quality and productivity policy.
• Maintains an acceptable productivity average of 90% or greater.
• Maintains working knowledge of payor policies applicable to assigned work group.
• Maintain billing / coding knowledge of assigned specialty and identify trends to report up to leadership.

Qualifications :

If you would like to be part of a growing family focused on supporting clinical excellence, teamwork and innovation, we urge you to apply now! Baptist Health is an Equal Employment Opportunity employer.