AR Representative
Resolv PracticeMax is seeking a skilled and experienced Accounts Receivable Representative to join our team.
You will work within the team to manage accurate and timely claims follow-up and accounts receivable resolution.
What your impact will be:
* Call payer(s), utilize payer portals, utilize client clearinghouse and all other resources available to ensure resolution of outstanding claim balances.
* Update information in practice management software to ensure timely resolution of outstanding AR.
* Compile necessary information and drafts appeals to ensure resolution of denied claims.
* Coordinate duplicate billings, coordination of benefits, medical records or clinical documents as needed to expedite payment of insurance claims.
* Follow up with appropriate resource contacts to locate and obtain missing, invalid, or incomplete information.
* Act as key contributor to the Revenue Cycle by identifying and reporting inefficiencies and opportunities that enhance revenue flow, decrease denials, and minimize write-offs.
* Accountable for complex payers, aged claims, and special accounts receivable projects as assigned.
* Adhere to government regulations, payer contracts, insurance guidelines and practice specific agreements when performing insurance follow-up.
* Resolve inappropriate payments with insurance carriers that are not in compliance with payer contracts, practice agreements or governmental agency rates on individual accounts.
* Identify trends in payer non-compliance and inform management if not able to resolve with payer.
What we are looking for:
* Team player
* Problem solver
* Critical thinker
* Detail oriented
* Computer literate
* Experience with Advanced MD, EPIC, RXNT, eCW, Brightree, Dr.
Chrono, Allscripts and SequelMed are preferred.
* Experience with Trizetto, Experian, Waystar, Availity and payer portals is preferred.
* General knowledge of claims revenue cycle and medical terminology preferred.
* Highschool diploma or Equivalent
What we can offer:
* Opportunity for challenging projects and professional growth
* Vacation and personal days
* Comprehensive benefit package
* Lifestyle rewards
* Flexible work options
About us:
Resolv is a leader in Revenue Cycle Management and has been in business for 20+ years specializing in medical coding and billing.
- Rate: 420000
- Location: Cebu City, PH-CEB
- Type: Permanent
- Industry: Finance
- Recruiter: Harris Global Business Services Incorporated
- Contact: Not Specified
- Email: to view click here
- Reference: R0024718
- Posted: 2024-06-20 08:22:44 -
- View all Jobs from Harris Global Business Services Incorporated
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