HSS

Accounts Receivable Representative

HSS

full-time

Posted on:

Location Type: Hybrid

Location: New York CityNew YorkUnited States

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Salary

💰 $36 per hour

Job Level

About the role

  • Assists with contracts
  • Assists in the negotiation of physician managed care contracts, analytics, and financial modeling.
  • Coordinates enrollment
  • Ensures compliance of managed care companies with negotiated contracts.
  • Follows-up and resolving payment issues with Insurance Payors.
  • Acts as a liaison between physician offices and Insurance Payors.
  • Schedules, coordinates, and documents for all PHO related meetings.
  • Creates and maintains tracking logs for Insurance Payor issues and accountability for closing out items.
  • Oversees PHO phone line, answers and responds to inquires, and assist with urgent physician office issues.
  • Maintains satisfactory attendance record.
  • Reports for duty punctually.
  • Adjusts to changing situations and work assignments.

Requirements

  • Previous applicable experience in healthcare, hospitality or other highly visible customer service required.
  • Previous medical billing and customer service experience highly desirable.
  • Knowledge of third party operating procedures, regulation, and billing requirements as well as government reimbursement programs.
  • Knowledge of CPT, ICD-10, HCPCS coding and Medical Terminology and Collections.
  • Proficient in uses of computerized registration and billing systems and personal computers, including Microsoft Office Suite.
  • Ability to identify trends with regard to third party payer denials and proactively problem solve.
  • Positive attitude, flexible team player.
  • Epic experience preferred.
Benefits
  • Additional benefits consistent with the role
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
medical billingCPT codingICD-10 codingHCPCS codingmedical terminologycollectionsfinancial modelinganalyticsthird party operating proceduresgovernment reimbursement programs
Soft Skills
customer serviceproblem solvingflexibilityteam playercommunicationorganizationnegotiationliaisonattendancepunctuality