Medical Accounts Receivable Representative

Job Description

Job Description : Responsibilities: Work through book of AR and develop plan for maintaining proper coverage on all accounts Review aged accounts, trace, and appeal unpaid and/or erroneously paid or denied accounts Work all denials and rejections received by researching steps previously taken and take additional action, as needed to resolve the claim Reviews and corrects claim rejections received from clearinghouse Verify eligibility, coverage and claim status online through insurance we portals Resubmit insurance claims that have received no response or are not on file Transferring outstanding balance to patient or next responsible party whenever required Make corrections on CMS 1500 claim form and rebill claims Work on Commercial, Medicaid, Tricare, and Worker’s Compensation denials/rejections Document insurance denials/rejections properly Communicate claim denials/rejections details related to missing information with client Works with other staff to follow-up on accounts until zero balance Maintains required billing records, reports, files Review and address correspondence daily Identify trends and inform client lead/manager, as appropriate Escalate issues to client lead/manager, as appropriate Other responsibilities as assigned. Role Information: Full-Time Eligible for Benefits Requirements Required Knowledge, Skills, Abilities & Education: Minimum of one year's experience working with a healthcare provider or an Associate’s Degree in Healthcare Management, Business Management or a related field Experience with healthcare billing and collections Experience with various practice management systems (Advantx, HST, Vision, Amkai, SIS, Cerner, CPSI, Meditech, CEntricity, Allscripts, AdvancedMD) Experience with revenue cycle management and follow-up Experience with facility and/or professional revenue cycle experience Minimum tenure of 1-2 years in each previous position held Proficient with MS Outlook, Word, and Excel Ability to work independently and as part of a team Strong attention to detail and speed while working within tight deadlines Exceptional ability to follow oral and written instructions A high degree of flexibility and professionalism Excellent organizational skills Strong interpersonal and persuasive abilities in order to secure accurate and timely payment from patients Ability to work in a fast-paced environment Outstanding communications skills; both verbal and written Positive role model for other staff and patients by working with them to promote teamwork and cooperation Ability to apply common sense understanding and logic in day-to-day activities. Preferred Knowledge, Skills, Abilities & Education: Experience working in an Ancillary/Ambulatory Surgery Center (ASC) Strong Microsoft Office skills in Teams Comfortable with electronic and manual payor follow-up Able to quickly identify trends and escalate, as appropriate Ability to read, analyse and interpret insurance plans, financial reports, and legal documents Tenure of greater than two years at all previous employers with no gaps in employment Physical Demands: Sitting and typing for an extended period Reading from a computer screen for an extended period Work environment of a traditional fast-paced and deadline-oriented office Working closely with others Frequent verbal communication, primarily over the phone, and face-to-face interaction Working independently Frequent use of a computer and other office equipment Key Competencies: Attention to detail Responsiveness Customer Service Execution Communication Department Revenue Cycle Services Open Positions 1 Skills Required Ambulatory Surgery Center , Advantx, HST, Vision, Amkai, SIS, Cerner, CPSI, Meditech, CEntricity, Allscripts, AdvancedMD) Location Noida, Uttar Pradesh, India Years Of Exp 2 to 2 years Designation Billing Executive Posted On : 07-Apr-2025