Accounts Receivable Representative

Job Description:

• Coordinate all patient, client, and insurance billings for the medical facility
• Maintain detailed knowledge and application of third-party payor billing requirements
• Ensure financial and demographic information is correct and complete
• Apply allowances, discounts, and co-payments properly
• Process insurance payments to patient accounts in a computerized system
• Obtain prior authorizations and perform patient benefit investigations
• Contact accounts, physicians, or patients to obtain missing billing information
• Re-bill insurance companies or other third parties to secure payment
• Assist with training personnel on the computerized billing system
• Maintain department Standard Operating Procedures
• Respond to patient/client billing and statement inquiries by phone or mail
• Obtain and mail invoice copies upon request
• Research and process customer claims of invoice payment
• Answer accounts receivable phone inquiries and follow up with patients/clients
• Identify insurance or patient overpayments and submit refund request forms
• Investigate insurance denials to maximize reimbursement

Requirements:

• High school diploma or GED; or one to three months related experience and/or training; or equivalent combination of education and experience
• Prefer experience with health insurance companies
• Ability to read and comprehend simple instructions, short correspondence, and memos
• Ability to write simple correspondence
• Ability to effectively present information in one-on-one and small group situations
• Ability to perform basic arithmetic and compute rate, ratio, and percent
• Ability to apply common-sense understanding to carry out written, oral, or diagram instructions
• Basic computer skills, including Windows, medical record software, and MS Office
• Proficient data-entry skills of 40–50 wpm
• Basic knowledge of standard office equipment
• No certifications required

Benefits:

• Equal opportunity employer
• Benefits are included among personnel programs, but no specific benefits are listed