Medical Billing Accounts Receivable Representative
MMBC, LLC
Job Description
Job DescriptionPosition Summary
We are seeking an experienced Accounts Receivable (AR) Representative to manage and resolve complex accounts receivable in a multi speciality environment. The ideal candidate will have a strong background in professional billing, advanced payer follow-up skills, and hands-on experience working in Athena IDX. Experience with Epic is strongly preferred. Experience with Neurosurgery and Radiation Oncology specialities are preferred.
This role requires a high level of independence, critical thinking, and expertise in resolving aged, high-dollar, and technically complex claims.
Key Responsibilities
- Full-cycle accounts receivable for professional medical billing
- Perform detailed follow-up on unpaid, underpaid, or denied medical claims
- Analyze EOBs and remittance advice to identify payment discrepancies
- Research and resolve medical claims denials related to medical necessity, coding, authorization, bundling, and payer policy
- Initiate and manage medical claims appeals, including preparation of supporting documentation
- Work collaboratively with coding, authorization, and clinical teams to resolve medical claim issues
- Accurately document all account activity in IDX and/or Epic
- Identify trends and escalate systemic payer issues as appropriate
- Ensure compliance with payer contracts and regulatory requirements
Required Qualifications
- Minimum 35 years of Accounts Receivable experience in physician billing
- Proven success working complex, high-dollar surgical claims
- Athena IDX system experience strongly preferred
- Strong knowledge of CPT, ICD-10, modifiers, and payer reimbursement methodologies
- Ability to independently prioritize and manage AR workload
- Excellent written and verbal communication skills
Preferred Qualifications
- Experience working in Epic
- Neurosurgery and/or Radiation Oncology specialty AR experience strongly preferred
- Prior experience with appeals and dispute resolution for surgical specialties
- Familiariarity with all payers in the Maryland and/or Georgia markets
What We Offer
- Competitive salary based on experience
- Comprehensive benefits package
- Supportive, collaborative work environment
- Opportunity to work with a specialized and experienced revenue cycle team
With a combined 40+ years of experience in billing and compliance, we have the knowledge and expertise to optimize our providers revenue cycle without compromise. We commit to providing an individualized approach to revenue cycle management, ensuring our service always meets our client's needs.
Company Description
With a combined 40+ years of experience in billing and compliance, we have the knowledge and expertise to optimize our providers revenue cycle without compromise. We commit to providing an individualized approach to revenue cycle management, ensuring our service always meets our client's needs.Vacancy posted 1 day ago
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