Accounts Receivable Representative

4 months ago

Philadelphia, United States IntePros Consulting Full time

IntePros is seeking an Accounts Receivable Representative to join our Philadelphia based industry-leading healthcare client in a hybrid capacity. This person will provide consistent follow up on the open account receivables and will be responsible to review payments received for services rendered and to determine contractual compliance. They will provide payment disputes to third parties in a timely manner per payor, contractual and regulatory guidelines and will work with interdisciplinary team and appropriate pre-cert coordinator to assure authorization issues are resolved. The ideal candidate for this role holds their CPC certification.

Responsibilities:

Review of the accounts receivable reports and explanation of benefits to determine outstanding balances for follow up. Perform payment disputes timely and in accordance with payor, contractual and regulatory guidelines. Document all follow up activities into the patient’s medical record. Review payments for accuracy. Identify and report all issues and identified trends related to contractual compliance utilizing the payor issue process to management. Complete payor projects as assigned and document all follow up activity. Perform as necessary, eligibility checks, payer changes, crediting and resubmission of claims. Assist in obtaining/maintaining department’s cash goals. Provide all home care patient financial services functions in accordance with client, CHHC policy and all regulatory and accrediting agency guidelines Perform other duties as assigned by management.

Qualifications:

High School Diploma / GED is required CPC certification is required Previous billing/reimbursement experience. Strong organizational skills. Strong verbal and communication skills. Basic application and computer skills. Strong data entry skills Experience with computers is required Experience in health care billing is required

#LI-DS1 #LI-Hybrid

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