SUMMARY:
An A/R Representative provides financial, clerical and administrative services to ensure efficient, timely and accurate payment of accounts under his or her control. They use their knowledge of the Revenue Recovery cycle to follow up on, bill, and collect payments from insurance companies on behalf of our clients.
RESPONSIBILITIES
- Interact with, understand and update programs used to manage patient accounts.
- Review Payer/Provider contracts to determine if they are being interpreted and administered appropriately.
- Review and interpret Payer/Provider contracts with clients for use in supporting expected reimbursement calculations for system resolution.
- Report any detected trends in underpayments or denials to Supervisor.
- Review Payer remittance advices to determine correct payment amounts and patient responsibilities.
- Maintain confidentiality at all times.
- Maintain a professional and courteous approach when communicating with insurance companies and co-workers.
- Maintain a current working knowledge of all healthcare related issues and regulations including insurance company practices regarding reimbursement.
QUALIFICATIONS
- 2 years of healthcare experience – office/coding/billing. Hospital setting preferred.
- Knowledge of the revenue cycle process
- Ability to interpret and discuss insurance EOB and payments and UBs
- Understanding of ICD-9/ICD-10, DRG, CPT, and HCPC
Job Types: Full-time, Contract
Pay: From $18.00 per hour
Physical Setting:
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
Application Question(s):
- How many years of Medical Collections experience do you have?
- Are you familiar with UB underpay? HCFA underpay?
- How many years of experience do you have reviewing payer contracts?
- Are you able to identify trends?
Experience:
- Revenue cycle management: 1 year (Preferred)
Work Location:
- One location
Work Remotely:
Source: Indeed.com
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