Accounts Receivable Representative

JOB DESCRIPTION OVERVIEW:

This position is responsible for reviewing un-adjudicated claims billed to various carriers at their assigned Billing Group in the No Activity/No Response Roles. Maintains accuracy and production to ensure invoices are being processed efficiently.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

 Reviews ETM task list assignment, comments, and rebills claim as necessary

 Posts appropriate rejection codes into system when needed

 Assembles and forwards appropriate documentation to the Senior Representative for carrier related issues

 Reviews carrier provider manuals for billing updates as needed

 Reports any consistent errors found during review that affect claims from being processed correctly

 Participates in department meetings with Accounts Receivables Team

 Turns to Senior/Supervisor for unusual circumstances that may include write-offs, fee schedules, claims, etc.

 Performs any and all duties as directed by Senior Representative, Supervisor, and Accounts Receivable Manager

Job Requirements:

EXPERIENCE / SKILLS:

 Six months medical billing experience

 Knowledge of physician billing policies and procedures

 Computer literate

 Ability to work in a fast-paced environment

 Excellent organizational skills

 Ability to work independently

EDUCATION:

 High school diploma or equivalent.

WORKING CONDITIONS:

 This job will be performed in a well-lighted and well-vented environment.

Requires

constant sitting tolerance.

Involves extensive computer use.

 Set in a pleasant, high-volume, fast-paced office environment.

 Overtime may be required and can be mandated by Management.

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