Accounts Receivable Represenattive II (Remote)

Accounts Receivable Representative II

Under the direct supervision of the Collections Supervisor or Manager, the Accounts Receivable Representative II is responsible for effective and efficient accounts receivable management of assigned payers. Collections efforts on outstanding accounts include telephone contact with payers, work collection reports and correspondence, audit accounts, appeal denied claims as necessary, update accounts as necessary, identify carrier related denial trends and meet departmental productivity standards. Accounts Receivable Representative 2 will also coordinate the transfer of patient responsibility and work accounts that require additional insurance collection follow-up.

Principal Duties and Responsibilities

Reviews, evaluates, and forwards manual paper claims to payers that do not accept electronic claims or that require special handling

Documents billing activity on the patient account; ensures compliance with all applicable billing regulations and reports any suspected compliance issues to departmental leaders

Reviews claims for accuracy and coordinates with ancillary departments as needed to provide information for audits and / or record reviews

Based on electronic payers' error reports, makes appropriate corrections to optimize the electronic claims submission process

Pursues prompt follow-up efforts on aged accounts, which may involve helping to formulate written appeals

Accurately documents all follow up on the account to ensure there is an accurate record of the steps taken to collect on an account.

Monitors claim rejections for trends and issues; reports these findings to the lead biller and other departmental leaders

Practices excellent customer service skills by answering patient and third-party questions and / or addressing billing concerns in a timely and professional manner

Assists in reviewing and / or resolving credit balances

Participates in general or special assignments and attends required training

Position Qualifications

Education :

High school diploma or equivalent certification required

Associate degree preferred

Experience :

2 to 4 years of customer service and / or business office experience preferred in a medical setting

Knowledge of basic patient accounting processes and healthcare terminology strongly preferred

Knowledge, Skills, Abilities :

Strong computer skills (including MS Word and Excel)

Ability to maintain accuracy while working on multiple tasks in a fast-paced environment under low-to moderate supervision

Excellent verbal and written communication skills, including professional telephone etiquette

Ability to ensure confidentiality of sensitive information and maintain HIPAA compliance

Dependable in both production and attendance

Exceptional organization and time management skills

Total Rewards

Generous benefits package, including :

Paid Time Off

Health, life, vision, dental, disability, and AD&D insurance

Flexible Spending Accounts / Health Savings Accounts

401(k)

Leadership and professional development opportunities

EEO Statement

North American Partners in Anesthesia is an equal opportunity employer.