Accounts Receivable Representative

Accounts Receivable Representative

This position is eligible for Mid Atlantic Retina's $1,000 Hiring Incentive! The hired candidate will receive $500 after successful completion of 90 days of employment and $500 after successful completion of 1 year of employment! Available to new hires only- not available to agency hires, internal transfers, or re-hires.

Job Type: Full Time

Qualifications

• 3-5 years of Medicare billing in a physician office or third-party billing company preferred.
• Strong knowledge of and experience in payment posting, rejections and denials, account reconciliation and following up on aged accounts.
• Experience working with insurances, private carriers, HMOs, Medicare, and Medicaid.
• Knowledge of benefit investigation including obtaining eligibility information, authorizations, and referrals.
• Experience with CPT, ICD10, Microsoft Office Suite.

Job Description

The Accounts Receivable Representative is responsible for collecting from their assigned payer and ensuring all protocols and established billing guidelines are met. Follows up with payer to dispute denied claims as necessary.

Essential Functions

1. Researches and corrects rejections, denials, and aged receivables.
2. Ensures that all payer accounts are billed appropriately and meet all regulatory and compliance requirements
3. Establishes relationships with assigned payer regarding billing and collection.
4. Ensures routine billing tasks follow prescribed procedures and protocol.
5. Maintains established goals as set forth by the department.
6. Maintains knowledge of regulatory bodies regarding compliance issues and changes.
7. Maintains up to date billing knowledge of insurance carriers and MAR policies to be a resource for patients and other departments.
8. Act as customer service representative in person or by telephone for any patient questions about their account in addition to corresponding with Payers.
9. Work overtime as needed.
10. Travel to other MAR locations as needed.
11. Perform other duties as assigned.

Benefits

• Health Insurance
• Dental Insurance
• Vision Insurance
• Paid Sick Time
• Paid Vacation Time
• Team Bonuses
• 7 Paid Company Holidays
• 401K
• Profit Sharing
• Company Paid Life Insurance

Physical and Cognitive Demands

• This is largely a sedentary role; however, some filing may be required. This would require the ability to occasionally lift files, bend, stoop, crouch, reach, and stand on a stool as necessary.
• Ability to lift or move up to 15 pounds at times.
• Work with data by calculating and manipulating numbers, processing data on a computer, classify, record, store and retrieve information.
• Use words to communicate ideas, read with comprehension and explain abstract or complex ideas in more basic terms.
• The employee will use hands to operate equipment such as a computer mouse, show manual or finger dexterity, handle things with precision or speed, use muscular coordination and physical stamina.
• While performing the duties of this job, the employee is regularly required to talk, communicate verbally one to one, in front of groups, over the telephone or with a headset and in email.
• This position requires listening to verbal communication using a telephone or with a headset and processing the information while entering the data into a computer system, processing auditory information, and responding verbally back in an appropriate manner.
• Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus with or without corrective lenses.
• Ability to follow through on plans or instructions.