Medical Billing AR Representative

Acentus is excited to announce an opening for the position of Accounts Receivable (AR) Representative on our team! In this role, you will play a crucial part in ensuring our professional medical billing processes run smoothly, making a significant impact on our ability to help provide exceptional care to patients. We are looking for a friendly and organized individual who is passionate about medical billing and eager to contribute to a supportive environment.

As an AR Representative, your primary responsibility will be to monitor your team’s payor’s financial performance by identifying and reporting trends and proposing ways to reduce and prevent denials. Daily duties of an AR Representative include ensuring claim payment issues are resolved timely and efficiently, resolving EOB discrepancies, researching denials, training new team members, working special projects, and meeting key performance indicators (KPIs). You will be a key contact point for resolving discrepancies and ensuring that our revenue cycle is efficient and effective. This position requires a keen attention to detail and excellent communication skills. If you enjoy working in a fast-paced environment where you can make a difference in people's lives through your work, this could be the perfect opportunity for you!

Responsibilities:

• Follow up on submitted claims for payment
• Meet productivity standards and minimum requirement of >60 accounts per day
• Monitor unpaid claims and resubmit claims with appropriate corrections and/or documentation
• Work denied claims and resubmit replacement claims for payment
• Report denial trends to management
• Provide timely, accurate, and professional responses to internal, patient, and third party inquiries
• Research and resolve complex issues and escalate issues to management
• Research no response claims and report root cause to management
• Work with AR manager to resolve and prevent coding denials
• Maintain and submit a detailed issues log to manager to identify practice and/or payer trends
• Report needed system updates to manager
• Research payer policies and insurance eligibility changes and communicate changes to key personnel
• Independently work payor projects as assigned

Qualifications:

• High school diploma or equivalent required
• Intermediate typing and computer skills required
• Experience in professional medical billing or similar role
• Ability to troubleshoot and problem solve in a healthcare setting
• Knowledge of CPT and ICD-10 coding
• Understanding of HIPAA compliance practices
• Experience utilizing billing systems and electronic medical records (EPIC preferred)
• Proficiency using Microsoft Excel and Word
• Prior experience using payor portals
• Excellent research abilities, attention to detail, and communication skills
• Outstanding problem-solving and organizational abilities
• Self-motivation, including multitasking and time management
• Positive attitude and team player