Accounts Receivable Representative (Medical Billing)- Hybrid Schedule

Accounts Receivable Representative (Medical Billing)

At OrthoCarolina, our team is our greatest asset and the foundation of our success. We are a diverse group of individuals, accountable to each other to uphold the standards of excellence and promote an environment of teamwork throughout the organization. OrthoCarolina has 43 unique care locations with over 1,300 professionals who share a common goal to make lives better. Our employees are eligible for a full spectrum of benefits including paid company holidays, wellness programs, and tuition reimbursement.

We are currently searching for an Accounts Receivable Representative (Medical Billing) to join our Revenue Cycle team in the OrthoCarolina Business Office in Charlotte. This position is a hybrid schedule with rotating days in the office depending on department needs.

The role of Accounts Receivable (AR) Representative with our team, you will be responsible for reviewing aging medical insurance account balances and resolving claim issues with insurance and/or patient.

Essential Functions:

• Maintaining AR queues at a reasonable age-base date as defined by management.
• A/R Representatives are also responsible for reviewing and appealing denied medical claims for bundling and medical coding-related issues.
• Responsible for timely follow-up on all appeal submissions.
• A/R Representatives will also be involved in processing of corrected claims and assisting with timely turnaround for medical documentation requests.
• Providing follow-up and feedback to management regarding assignments.

Skills and Abilities:

Qualifications:

• High school graduate or GED.
• One-year certificate from college or technical school preferred.
• Certified Professional Coder (CPC) preferred.
• Or Experience plus certification:
• Three years of accounts receivable experience, preferred
• One year of experience in a health care organization.
• Working knowledge of ICD 10 required.
• Certified Professional Coder (CPC) preferred.

Billing, Claims Administration, Claims Processing, Health Insurance, ICD Coding, Insurance Claims Processing, Organizing, Reimbursement