Lead Accounts Receivable Representative

1 week ago

Schenectady, United States Ellis Medicine Full time

**Basic Function**:
The Lead Accounts Receivable Representative will be responsible for the management of the assigned AR as well as completing special billing assignments and projects. Assist staff daily with questions or concerns and provide training to new and current staff. Achieve accurate and timely accounting of all Inpatient and Outpatient accounts receivable as set by policies and procedures. Responsible for reviewing, payments and adjustments to the patient accounting system on a daily basis, and ensuring outgoing data is accurate. Review and resolve outstanding accounts receivable with insurance companies and patients. Responsible for scheduling all payer meetings monthly or bimonthly as appropriate and tracking payer logs to ensure accuracy and timely response to and from the payers

**Requirements**:
procedure and/or diagnosis. Windows-based software required, including but not limited to Microsoft Windows, Excel and Word. Experience with Siemens Soarian systems and Allscripts electronic health record preferred.

**Responsibiliites**:

- Responsible for completing special billing special billing assignments and projects.
- Assists staff daily with questions or concerns and provide training to current and new staff.
- Responsible for achieving accurate and timely accounting of all assigned Inpatient and Outpatient accounts receivable as set by policies and procedures.
- Responsible for reviewing payments and adjustments to the patient accounting system on a daily basis, and ensuring outgoing data is accurate.
- Review and resolve outstanding accounts receivable with insurance companies and patients.
- Claims in dispute with payers are reviewed daily to ensure the provider and payers are in agreement for appropriate claims reimbursed.
- Monthly meetings with all payers to continuously improve communications between provider and payer in order to resolve issues, reduce outstanding aged accounts, increase cash flow, and receive any updates on insurance regulations.
- Handles and processes all customer calls and written requests in Patient Financial Services (PFS) and responds in a timely manner to challenging customers, patients, insurance companies, other healthcare providers, physicians and adverse situations, in a professional and courteous manner.
- Facilitates in gathering accurate patient billing information.
- Performs collections of patients with outstanding accounts receivable. Accurately estimates the patient liability copayments, deductibles, coinsurances, deposits, etc. via obtaining accurate demographic and financial information.
- Receives and processes patient payments. Maintains necessary petty cash to properly service and receive payments.
- Answers patient inquired regarding their liability and being able to explain the variables involved.
- Properly receipting and forwarding all copies of patient payment receipts posting to the patient’s account in Sorian Financials.
- Perform end of day duties closing and reconciliation duties in Sorian Financials and reconcile deposit slips.
- Provides assistance and information on programs to assist patient and family financial issues (i.e. Medicaid Program, Uncompensated Care).Review Billing Exception Report for Revenue Management, the Medicare (FISS) and the claim scrubber (SSI) daily for data entry errors and make corrections. Notify the supervisor when a system error occurs. Log and forward to the source for correction if there is a registration error or missing claim form.
- Once all errors have been identified and corrected, each claim will be reviewed to verify is attachments are required for submission (i.e. Primary carrier payments, Medical Records, Worker’s Compensation C-4 or No Fault forms), then claims will be submitted daily to the appropriate payer as indicated.
- Analyze 277 rejection Reports to verify all payer denials, including eligibility denials, and edit denials.
- Calculate the usual and customary rate for any deductibles, coinsurance and / or adjustments according to the Professional and Technical reimbursement and contracts procedures and policies.
- Assist the cash posting staff with any questions in regards to payor remittances to ensure timely cash posting. Ensure appropriate Financial System transaction codes are applied to payments and allowances.
- Unidentified cash will be researched with the payer for correct posting, or be refunded to the payer within 30 days.
- Each denial will be reviewed for appropriateness and will be either corrected or billed to the next responsible party.
- Follow up on aging accounts with each payer within 15 to 45 days from insurance / guarantor bill date. Each account must show some activity that explains its age (i.e. Online Comment from follow up, payment arrangements, etc.).
- Proper correspondence to insurance companies and guarantors must be made to obtain payment status or make arrangements.
- All guarantor phone calls for the purpose of debt collection will be held to Cust

  • Accounts Receivable Representative

    2 months ago

    Schenectady, United States Ellis Medicine Full time

    Basic Function: The Accounts Receivable Representative will be responsible for achieving accurate and timely accounting of all Physician Billing accounts receivable as set by policies and procedures. This includes the daily review and posting of charges, payments and adjustments to the patient accounting system, review outgoing data and correct errors,...

  • Accounts Receivable Representative

    4 weeks ago

    Schenectady, United States Ellis Medicine Full time

    Basic Function: The Accounts Receivable Representative will be responsible for achieving accurate and timely accounting of all Physician Billing accounts receivable as set by policies and procedures. This includes the daily review and posting of charges, payments and adjustments to the patient accounting system, review outgoing data and correct errors,...

  • Verizon Account Representative

    3 weeks ago

    Schenectady, United States SMG Business Solutions Full time

    Welcome to the forefront of telecommunications innovation! As a dynamic communications and sales firm, we're proud partners with Verizon, leading the charge in revolutionizing the industry. Our mission is simple yet powerful: to connect local customers with Verizon's cutting-edge fiber-optic network and essential services, transforming the way people connect...

  • Lead Patient Access Representative

    3 weeks ago

    Schenectady, United States Ellis Medicine Full time

    The Lead Patient Access Representative assists the supervisor in coordinating the daily activites of the Patient Access Representative I. Monitors workflow and quality, assists in the training process and performs all duties of a Patient Access Representative I; assist with the information needed to improve patient flow and collaborate with various...

  • Lead Patient Access Representative

    2 weeks ago

    Schenectady, United States Ellis Medicine Full time

    The Lead Patient Access Representative assists the supervisor in coordinating the daily activites of the Patient Access Representative I. Monitors workflow and quality, assists in the training process and performs all duties of a Patient Access Representative I; assist with the information needed to improve patient flow and collaborate with various...

  • Lead Patient Access Representative

    2 weeks ago

    Schenectady, United States Ellis Medicine Full time

    The Lead Patient Access Representative assists the supervisor in coordinating the daily activites of the Patient Access Representative I. Monitors workflow and quality, assists in the training process and performs all duties of a Patient Access Representative I; assist with the information needed to improve patient flow and collaborate with various...

  • Lead Patient Access Representative

    3 weeks ago

    Schenectady, United States Ellis Medicine Full time

    The Lead Patient Access Representative assists the supervisor in coordinating the daily activites of the Patient Access Representative I. Monitors workflow and quality, assists in the training process and performs all duties of a Patient Access Representative I; assist with the information needed to improve patient flow and collaborate with various...

  • Call Center Representative

    4 days ago

    Schenectady, United States Empire Oral & Maxillofacial Surgery - Glenville Full time

    Overview: Call Center Representative (Dental Receptionist) - On Site, Full Time Position (Monday - Friday 8:30am-4pm) + Salary range $18-$21/hr based upon expereince + Benefits! Empire Oral & Maxillofacial Surgery - Glenville is a thriving and fast paced practice looking for a Call Center Representative to join our growing team. Why Heartland Dental?...

  • Call Center Representative

    4 days ago

    Schenectady, United States American Dental Partners Full time

    Job Details Req ID: 92711 Supported Practice: Empire Oral & Maxillofacial Surgery Category: Business Assistant Location: 170 Saratoga Ave, Glenville, NY 12302 Position Summary:Call Center Representative (Dental Receptionist) - On Site, Full Time Position (Monday - Friday 8:30am-4pm) +Salary range $18-$21/hr based upon expereince + Benefits! Empire Oral &...

  • Accounting and Administrative Specialist

    4 weeks ago

    Schenectady, United States Transfinder Full time

    **Position**:Accounting/Administrative Specialist** **Location: Onsite at 440 State Street, Schenectady, NY 12305** **What we do** **Transfinder** is a **leading provider of transportation management and communication solutions**, delivering **faster, safer and smarter technology for school districts** and municipal governments. With a focus on **client...

  • Accounting and Administrative Specialist

    3 days ago

    Schenectady, United States Transfinder Full time

    **Location: Onsite at 440 State Street, Schenectady, NY 12305** **What we do** **Transfinder** is a **leading provider of transportation management and communication solutions**, delivering **faster, safer and smarter technology for school districts** and municipal governments. With a focus on **client satisfaction**, the company combines **its...

  • Outside Sales Representative

    4 weeks ago

    Schenectady, United States ATD Roofing Full time

    Job DescriptionJob DescriptionSalary: Outside Sales Representative Apply on our website: www.atdroofing.com Follow us on all social medias platforms @ATDRoofing. You can check company reviews on glassdoor! Company OverviewATD Roofing, established in 2016 has swiftly risen to become the leading commercial and residential roofing contractor in the...

  • Accounting and Administrative Specialist

    3 weeks ago

    Schenectady, United States Transfinder Full time

    **Position: Accounting/Administrative Specialist** **Location: Onsite at 440 State Street, Schenectady, NY 12305** **What we do** **Transfinder** is a **leading provider of transportation management and communication solutions**, delivering **faster, safer and smarter technology for school districts** and municipal governments. With a focus on **client...

  • Entry Level Customer Service Representative

    2 weeks ago

    Schenectady, United States Shore Marketing Group Full time

    WE ARE HIRING A SPIRITED ENTRY LEVEL CUSTOMER SERVICE REPRESENTATIVE TO JOIN OUR TEAM!Are you excited to bolster your customer service prowess and have fun while doing so? Look no further, because we are seeking new talent to join us as an Entry Level Customer Service Representative. We are looking for candidates who not only bring excitement and energy to...

  • Entry Level Customer Service Representative

    16 hours ago

    Schenectady, United States Shore Marketing Group Full time

    WE ARE HIRING A SPIRITED ENTRY LEVEL CUSTOMER SERVICE REPRESENTATIVE TO JOIN OUR TEAM Are you excited to bolster your customer service prowess and have fun while doing so? Look no further, because we are seeking new talent to join us as an Entry Level Customer Service Representative. We are looking for candidates who not only bring excitement and energy to...

  • Accounting and Administrative Specialist

    4 weeks ago

    Schenectady, United States Transfinder Full time

    **Location: Onsite at 440 State Street, Schenectady, NY 12305** **How to Apply**: - **Submit your resume in Word or PDF format.**: **What we do** Transfinder is a leading provider of transportation management and communication solutions, delivering faster, safer and smarter technology for school districts and municipal governments. With a focus on client...

  • Accounting/administrative Specialist

    3 weeks ago

    Schenectady, United States Transfinder Full time

    **Location: Onsite at 440 State Street, Schenectady, NY 12305** **How to Apply**: - **Submit your resume in Word or PDF format.**: **What we do** Transfinder is a leading provider of transportation management and communication solutions, delivering faster, safer and smarter technology for school districts and municipal governments. With a focus on client...

  • Customer Service Representative

    3 weeks ago

    Schenectady, United States Spectrum Full time

    **Job Summary** **At a Glance** Full-time entry-level to mid-level customer service roles troubleshooting and resolving mobile customer technology and service issues, including repair, billing, and accounts. Profile: A tech-savvy problem solver who can multitask to repair a variety of services and equipment. Mobile Representatives use patience and...

  • Rental Sales Representative

    4 weeks ago

    Schenectady, United States Ryder Full time

    At Ryder, our most important competitive advantage is our people. *CULTURE- INTEGRITY- FAMILY* . As a Rental Sales Rep, youll be part of a dynamic team, equipped to succeed and empowered to develop your sales, management, operations, or customer service career. **Summary** The Rental Sales Representative is responsible for acting as the front line sales...

  • Accounting and Administrative Specialist

    1 week ago

    Schenectady, United States Transfinder Full time

    **Position**:Accounting/Administrative Specialist** **Location: Onsite at 440 State Street, Schenectady, NY 12305** **What we do** **Transfinder** is a **leading provider of transportation management and communication solutions**, delivering **faster, safer and smarter technology for school districts** and municipal governments. With a focus on **client...