Medical Account Receivable Representative

Job Description

Title: Medical Accounts Receivable Representative

$14-17hr plus quarterly incentives.

Responsibilities:

Under the supervision of the Accounts Receivable Manager and support of the Team Leader the Accounts Receivable Representative is primarily accountable for the coordination of all third-party claims, patient statements, posting and billing with a concentration in collections. The Accounts Receivable Representative position ensures the timely filing and collections of their designated areas according to insurance billing and collection guidelines. Responsibilities are not limited to processing of denials, answering patient billing questions and concerns, covering phones when necessary, and filing all billing correspondence. 

Key Tasks:

• Reviews third-party aged trial balances and follows-up on all unpaid claims either, by phone, mail or online in accordance with departmental procedures and insurance guidelines.

• Reviews patient responsibility trial balance and prepares detailed bills for outstanding balances. In addition to follow up calls and sending 1st, 2nd, 3rd and final demand letters.

• Completes a daily worksheet tracking workflow, collection and write off issues according to department policy

• Follows up on denials for payment processing and processed appeals as necessary

• Reviews and posts all payments received by the insurance carriers and patients to ensure accurate account balances.

• Reconciles monthly receipts for closing purposes.

• Processes refund requests according to the company policy and procedure

• Each Account Receivable Representative will attend and participate in an individual weekly meeting to review and discuss streamlining workload, collection issues, and status of individual goals. In addition to a bi-weekly A/R Collection meeting to discuss departmental goals and progress.

The Account Receivable Representative responsibilities are as described above and are subject to change in accordance with the policies and procedures of the accounts receivable department. 

Qualifications

****Candidates with strong medical insurance collection and payment posting skills required****