Accounts Receivable Specialist
Concentrix
Accounts Receivable Representative I
North American Partners in Anesthesia
full-time
Posted on:
Location Type: Remote
Location: Remote • North Carolina • 🇺🇸 United States
Visit company websiteSalary
💰 $16 - $22 per hour
Job Level
Mid-LevelSenior
About the role
- Under the direct supervision of the Collections Supervisor or Manager, the Accounts Receivable Representative I is responsible for the effective and efficient denied claims management for assigned payers.
- Responsible for working high volume collection reports and correspondence, auditing accounts, submitting all levels of appeals for denied claims as necessary, updating accounts as needed, and identifying carrier-related denial trends.
- Coordinates, monitors, and manages the follow-up on unpaid claims.
- Ensures follow-up and reimbursement appeals of unpaid and inappropriately paid claims.
- Identifies, researches, and ensures timely processing of billing errors and corrections as they relate to claims.
- Actively participates in problem identification and resolution and coordinates resolutions between appropriate parties.
- Ability to communicate and collaborate effectively with other internal as well as external resources to achieve desired results and resolve issues.
- Review and work on all daily correspondence.
- Appeals denied claims via mail, telephone or websites.
- Perform audits on accounts when needed to review for accuracy.
- Update accounts with information obtained through correspondence and telephone.
- When necessary contacts patients, referring providers or a hospital to obtain better insurance information, authorization, or updated patient demographics to assist with collections.
- Completes appropriate account maintenance by ensuring the correct statement groups, financial class, and payer codes.
- Accurately documents all follow up on the account to ensure there is an accurate record of the steps taken to collect on an account.
- Pitches in to help the completion of the daily AR Representative 1 & 2 workloads to support AR team productivity and outcome measures.
- Meets the current productivity standard which includes both quantity and quality metrics.
- Maintains a working knowledge and understanding of CPT and ICD-10 codes.
- Keeps current with health care practices and laws and regulations related to claims collections.
- Performs other job-related duties within the job scope as requested by Management.
Requirements
- High school diploma or equivalent certification required
- Associate degree or equivalent from a two-year college preferred; or equivalent combination of education & experience
- 3-5 years of prior experience in a fast paced and high volume corporate medical collection’s role
- Knowledge of basic patient accounting processes and healthcare terminology strongly preferred
- 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.
Benefits
- 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
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
denied claims managementauditing accountsbilling errors correctionCPT codesICD-10 codesappeals processingpatient accounting processeshealthcare terminologyclaims collections
Soft skills
communication skillscollaborationproblem identificationproblem resolutionorganizational skillstime managementattention to detaildependabilityprofessional telephone etiquette
Certifications
high school diplomaassociate degree
