Accounts Receivable Representative II

5 days ago


Columbia, United States North American Partners in Anesthesia Full time

Position RequirementsUnder 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 ResponsibilitiesReviews, evaluates, and forwards manual paper claims to payers that do not accept electronic claims or that require special handlingDocuments billing activity on the patient account; ensures compliance with all applicable billing regulations and reports any suspected compliance issues to departmental leadersReviews claims for accuracy and coordinates with ancillary departments as needed to provide information for audits and/or record reviewsBased on electronic payers' error reports, makes appropriate corrections to optimize the electronic claims submission processPursues prompt follow-up efforts on aged accounts, which may involve helping to formulate written appealsAccurately 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 leadersPractices excellent customer service skills by answering patient and third-party questions and/or addressing billing concerns in a timely and professional mannerAssists in reviewing and/or resolving credit balancesParticipates in general or special assignments and attends required trainingThe above statements reflect the general duties considered necessary to describe the principal functions of the job as identified and should not be considered a detailed description of all the work requirements that may be inherent to the position.Position QualificationsEducation :High school diploma or equivalent certification requiredAssociate degree preferredExperience :2 to 4 years of customer service and/or business office experience preferred in a medical settingKnowledge of basic patient accounting processes and healthcare terminology strongly preferredKnowledge, 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 supervisionExcellent verbal and written communication skills, including professional telephone etiquetteAbility to ensure confidentiality of sensitive information and maintain HIPAA complianceDependable in both production and attendanceExceptional organization and time management skillsTotal RewardsGenerous benefits package, including:Paid Time OffHealth, life, vision, dental, disability, and AD&D insuranceFlexible Spending Accounts/Health Savings Accounts401(k)Leadership and professional development opportunitiesThis is a virtual position, but we prefer candidates to be based in one of the following locations: Melville, NY; Raleigh, NC; Syracuse, NY; Fairfax, VA; or Sunrise, FL.EEO StatementNorth American Partners in Anesthesia is an equal opportunity employer.



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