nimble solutions

Accounts Receivable Representative II

nimble solutions

full-time

Posted on:

Location Type: Hybrid

Location: ChesterfieldMontanaUnited States

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Job Level

About the role

  • Working in multiple practice management systems and other workflow technologies
  • Receiving client inquiries and addressing them in a timely manner as they relate to unpaid insurance claims
  • Checking payer portals for insurance claim statuses
  • Participating in team meetings and client meetings
  • Working with leadership to increase client collections i.e., getting additional insurance claims paid
  • Learning how to prioritize a work queue for maximum efficiency
  • Having fun, building relationships, and contributing towards maintaining positive team morale
  • Call insurance carriers to obtain timely processing of patient claims
  • Calling payers to understand why insurance claims were denied or paid incorrectly
  • Document contract with insurance carriers and estimated payment date
  • Provide information to expedite claim processing
  • Review and understand system notes
  • Successfully meeting facility goals and KPI’s
  • Attach appropriate documentation (i.e., Op Note, Invoice, etc.)
  • Review claims to ensure fields are complete and accurate
  • Maintain daily record of activities
  • Use system reports to manage accounts receivable (AR)
  • Prioritize accounts based on high dollar and days in AR
  • Document write-offs and submit refund requests
  • Maintain batch logs in a file by date
  • File activity into monthly charts by facility

Requirements

  • 1+ years of experience in medical billing or accounts receivable
  • Experience using Epic or NextGen software is highly preferred
  • High school diploma or equivalent
  • Knowledge and experience using various Electronic Medical Record programs
  • Knowledge of commonly used medical coding and billing terms and concepts
  • Possess an exceptional customer service mindset with a focus on high-quality delivery
  • Consummate team player
  • Detail-oriented, investigative skills and problem-solving skills
  • Work with a sense of urgency
  • Task oriented
  • Organized and attention to detail
  • Ability to communicate in a professional atmosphere and be comfortable on the phone for the majority of the day.
  • Work in a competitive environment.
Benefits
  • Flexible work arrangements
  • Professional development
Applicant Tracking System Keywords

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

Hard Skills & Tools
medical billingaccounts receivableinsurance claims processingmedical codingbilling termsEpic softwareNextGen softwareElectronic Medical Record programsKPI managementdocumentation management
Soft Skills
customer service mindsetteam playerdetail-orientedinvestigative skillsproblem-solving skillssense of urgencytask orientedorganizedattention to detailprofessional communication
Certifications
high school diplomaequivalent qualification