Accounts Receivable Representative
What your impact will be:
* Utilize payer portals, utilize client clearinghouse and all other resources available to ensure resolution of outstanding claim balances.
* Strong knowledge of payer portals, how to sign up and how to work within.
* 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.
* Flexible in taking on ADHOC tasks and re-assignment per client needs.
What we are looking for:
* Team player
* Problem solver
* Critical thinker
* Innovative thinker
* Detail oriented
* Computer literate
* Experience with HealthFusion, SequelMed, and Trizetto are highly peferred.
* Experience with DME product billing experience is required.
* Experience with denial management, appeal drafting required.
* Experience with payer portal workflow’s is required.
* String 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: 40000
- Location: Cebu City, PH-CEB
- Type: Permanent
- Industry: Finance
- Recruiter: Harris Global Business Services Incorporated
- Contact: Not Specified
- Email: to view click here
- Reference: R0026233
- Posted: 2024-09-20 08:48:44 -
- View all Jobs from Harris Global Business Services Incorporated
More Jobs from Harris Global Business Services Incorporated
- Territory Business Manager - WI
- Territory Business Manager - WI
- Territory Business Manager - WI
- Territory Business Manager - WI
- Territory Business Manager - WI
- Territory Business Manager - WI
- Director, Engineering Sourcing
- Production Manager
- Territory Business Manager - WI
- Territory Business Manager - WI
- Director of Operations
- Reliability Engineer - Board
- Area Purchasing Manager
- Boiler Asset Center Owner
- Territory Business Manager - WI
- Trade Management Applications Lead
- Industrial Maintenance Electrician
- Logistics Supervisor
- Senior Quality Engineer/QMS (Burlington, MA)
- Operations Manager (Cudahy, CA)