Accounts Receivable Representative II - Hybrid Remote

Job Locations US-FL-Jacksonville | US | US-Remote
ID 2022-1511
Category
Accounting/Finance
Position Type
Regular Full-Time

Overview

  • Hybrid Position: 1 day in Jacksonville office on Wednesday's and the remaining remote.
  • Accounts Receivable Representatives are primarily responsible for analyzing collections, resolving non-payables, and handling bill inquiries for more complex issues. AR Representatives are responsible for insurance payer follow-up ensuring claims are paid according to client contracts. Complies with all applicable laws regarding billing standards.

Responsibilities

  • Follows up on claim rejections and denials to ensure appropriate reimbursement for our clients
  • Process assigned AR work lists provided by the manager in a timely manner
  • Write appeals using established guidelines to resolve claim denials with a goal of one contact resolution
  • Identified and resolved denied, non-paid, and/or non-adjudicated claims and billing issues due to coverage issues, medical record requests, and authorizations
  • Recommend accounts to be written off on Adjustment Request
  • Reports address and/or filing rule changes to the manager
  • Check system for missing payments
  • Properly notates patient accounts
  • Review each piece of correspondence to determine specific problems
  • Research patient accounts
  • Reviews accounts and to determine appropriate follow-up actions (adjustments, letters, phone insurance, etc.)
  • Processes and follows up on appeals. Files appeals on claim denials
  • Scan correspondence and index to the proper account
  • Inbound/outbound calls may be required for follow up on accounts
  • Route client calls to the appropriate RCM
  • Respond to insurance company claim inquiries
  • Communicates with insurance companies for status on outstanding claims
  • Meet established production and quality standards as set by Ventra Health
  • Performs special projects and other duties as assigned

Qualifications

  • High School Diploma or GED
  • At least one (1) year in data entry field and one (1) year in medical billing and claims resolutions preferred
  • AAHAM and/or HFMA certification preferred
  • Experience with offshore engagement and collaboration desired

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