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Accounts Receivable Representative

4 months ago

Mount Laurel, United States National Worksite Staffing LLC Full time

As an Accounts Receivable Representative – Medical Coder, you will be responsible for a variety of advanced revenue related billing and coding activities requiring data research and analysis, time management, self-motivation, and teamwork. The Coding team works closely with internal Payment Posting and AR Teams: Commercial Payors, Managed Medicare & Medicaid Payors, Government Payors, Occupational Health, Specialty Payors, or Eligibility and Edits AR.

An ideal Coder in this role maintains a positive attitude, is self-motivated and detail-oriented, and has excellent problem-solving skills which allow the delivery of on-time results to ensure the success of individuals and the organization. Interested and qualified candidates are encouraged to apply to move forward with an expedited interview process

Responsibilities and Duties:

A qualified and dedicated AR Representative – Medical Coder will:

  • Review charge and claim edits by identifying correct assignment of Place of Service (POS) codes and ICD-10/CPT codes and modifiers while applying coding and billing guidelines per industry standards and/or specific client requests
  • Utilize payor policies to create internal edit and adjustment policies
  • Work claim denials and make any and all appropriate coding corrections
  • Work closely with the AR Coding Manager and AR Managers/Supervisors to maximize cash and minimize denials
  • Track claims and billing trends/issues and communicate them to management
  • Participate in group discussions including coding changes and education and client coding issues
  • Maintain knowledge of all coding changes, rules, and regulations
  • Comply with HIPAA regulations and state and federal standards and guidelines
  • Provide timely, accurate, and professional responses to internal, patient, and third party inquiries
  • Research and resolve complex issues and escalate issues to management
  • Report needed system updates to manager
  • Independently work special payor projects as assigned
  • Assist in training new team members

Qualifications and Skills:

Successful candidates will possess the following qualifications and skills:

  • Bachelor’s degree preferred, HS diploma/GED required
  • Certified Professional Coder (CPC) required
  • Minimum of 3 years’ coding experience required, professional medical billing experience preferred
  • Advanced ability to troubleshoot and problem solve in a healthcare setting
  • Advanced knowledge of CPT and ICD-10 coding
  • Advanced understanding of HIPAA compliance practices
  • Extensive knowledge of billing systems and electronic medical records (EPIC preferred)
  • Proficient knowledge and a working understanding of Microsoft Excel and Word

Schedule:

  • Full Time, Monday – Friday 9AM – 5PM

Salary:

  • $22 - $24 per hour, based on education and experience

Benefits:

  • Bi-Annual Bonus – Based on performance, paid out twice per year up to 10% of salary
  • Flexible Schedules – Three available shifts, summer hours, and early dismissal on Fridays
  • Remote Work – Semi-remote work available after successful completion of the 90 day introductory period
  • Paid Holidays and Paid Time Off – 14 days per year; accrues per pay cycle and increases based on years of service
  • Medical, Dental, Vision, and Life plans
  • 401K with employer match and additional incentives offered