Accounts Receivable/Billing Representative

Position: Accounts Receivable/Billing Representative

Location: Stuart, FL

Duration: 12 Months Contract

Start Time: 8:30 AM

End Time: 5:00 PM

Total Hours/week: 40.00

Description:

Position Purpose:

• To process medical billing claims, collect patient or provider payments, resolve questions and problems with a customer’s accounts, process patient refunds, appeals to include re-determinations and re-submissions of billing to patient payers for payment on medical supply orders.

Primary Duties and Responsibilities:

• Receive payment denials and investigate the reason to rectify the situation with the payer or patient.


• Receive inbound and place outbound calls from and to customers, Medicare, Medicaid, and Commercial insurance providers regarding patient accounts.


• Provide written correspondence to audit requests, including investigation and obtaining of appropriate documentation to be attached to response.


• Document the status of billing and payment process in patient accounts for future follow-up.


• Keep current on payer requirements via research and coaching to ensure guidelines and procedures are being met for each payer.


• Answer and follow up on calls from patients with billing questions.


• Complete all end-of-month reports as requested, directed, or assigned.


• Complete all internal system service ticket requests as assigned.


• Work on miscellaneous projects and tasks as needed.

Ancillary Duties and Responsibilities:

• Maintain a positive work atmosphere that embodies the company’s philosophy - Professional excellence, teamwork, and integrity.


• Maintain a production level between 20-40 accounts per day ensuring quality of work is above average.


• Maintain a better than average attendance score.


• Perform other duties and tasks as assigned.

Reporting Relationship Responsibilities:

• No supervisory responsibilities.


• Provides work direction only.


• May have responsibility for hiring, promotions, transfers, performance management, discipline, and discharge.

Minimum Requirements Or Qualifications:

• To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.


• The requirements listed below are representative of the knowledge, skill, and/or ability required.


• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education/Experience:

• High School Diploma or GED; two to four years prior medical supply billing experience and/or 1-3 years prior experience as an AR Billing Representative I exceeding performance levels and expectations for that role.

Skills:

Language:

• Ability to read, analyze, and interpret medical supply publications, technical procedures, and/or training tools.


• Ability to write internal and external business correspondence.


• Ability to effectively present information and respond to questions from management, team members, and/or customers.

Math:

• Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, and percentages. Ability to apply intermediate math skills.

Reasoning:

• Ability to solve practical problems and deal with a variety of variables.


• Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.


• Advanced analytical reasoning to include ability to forecast exponentials within workflow processes and reason against outside factors.

Computer:

• Knowledge of Microsoft Office Applications, Access, or other database software.

Telecommunications:

• Ability to utilize or knowledge of call center telecommunications software.

Licensure or Certifications required:

• No certifications required.

Work Requirements:

• Ability to work some evening shifts, weekends, and overtime as needed.

Physical Demands:

• The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.


• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.


• While performing the duties of this job, the employee is frequently required to walk, sit; use hands to finger, handle, or feel and talk or hear.


• The employee is occasionally required to stand.


• The employee must occasionally lift and/or move up to 10 lbs.

Work Environment:

• The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.


• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.


• While performing the duties of this position, the employee performs tasks in a temperature-controlled office environment under normal office conditions.


• The noise level in the work environment is usually moderate.


• The work environment involves minimal exposure to hazards or physical risks, which require following basic safety precautions.

Disclaimer:

• The above job description is meant to describe the general nature and level of work being performed; it is not intended to be an exhaustive list of all responsibilities, duties, and skills required for this position.


• The Company officers, mid-level, and entry-level management staff may assign additional duties and responsibilities as needed.


• This job description in no way states or implies that these are the only duties to be performed by the employee occupying this position.


• Employees will be required to follow any other job-related duties requested by their supervisor in compliance with Federal and State Laws.