Overview

Mission Statement and Core Values

Athletico’s sole purpose is to provide exceptional, progressive, and cost-effective fitness, performance and rehabilitative services through personalized care that emphasizes education and prevention of future injury. This is accomplished through building on our core values of patient/client satisfaction, accountability, teamwork and continuous improvement, which are the foundation for our unique culture.

Position Summary

One of many functions of the Billing Center is to prepare and submit clean claims to insurance companies, workers comp carriers and patients. The role of the A/R Representative is to ensure outstanding claims and patient balances are paid. The A/R Representative typically researches, communicates, obtains and resubmits information in order to expedite reimbursement.

Responsibilities

Essential Duties and Responsibilities

• Running, managing and working assigned aged account receivable (a/r) reports
• Ensuring claim accuracy via RealMed Clearinghouse
• Tasking clinic to obtain missing information (i.e. claim number etc.) and resolving account challenges
• Actively troubleshooting problem accounts in order to obtain reimbursement
• Clearly understanding guidelines set forth by each assigned insurance company
• Assisting the clinics with insurance coverage and verification of benefits when necessary
• Contacting insurance carriers via website and phone regarding unpaid claims
• Serving as a liaison with the patient and insurance company during claim appeal processes
• Identifying and forwarding accounts with auto, IR or patient responsibility to the appropriate A/R Rep within the BC
• Making necessary corrections/updates (“notes”) in NG system regardless of the carrier
• Answering phones while exhibiting professional and courteous telephone etiquette
• Attending all scheduled meetings
• Assisting with BC Rotations
• Maintaining a work schedule with up to 1 hour for lunch, while demonstrating flexibility when necessary
• Performing other administrative duties and special projects as assigned

Qualifications

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

• Must have at least a high school diploma
• Computer skills required
• Be comfortable with high volume work load
• Knowledge of NG or other Healthcare billing system
• Must be team-player
• Be comfortable with fast paced work environment
• Ability to prioritize and multi-task
• Be organized and self-directed
• Knowledge of healthcare insurance coverage required
• Knowledge of medical billing and collection processes within the industrial rehabilitation preferred
• Prior medical collection experience preferred

Essential Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactory. 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.

• Ability to consistently communicate a clear understanding of patients/clients expectations and adapt as appropriate to exceed their needs
• Ability to focus attention on determining what can be done to make progress
• Ability to develop personally and professionally
• Ability to foster a sense of teamwork and cooperation while working with others
• Ability to understand and determine priorities, effectively manage time and develop work plans in order to accomplish tasks and/or projects
• Ability to motivate, develop, and mentor staff in order to optimize their performance
• Ability to clearly organize and effectively convey information

Language Skills

• Ability to read, write and speak English proficiently

Physical Demands: The physical demands describe 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 function.

• Specific vision requirements include the ability to see at close range, distance vision, peripheral vision, depth perception, and the ability to adjust focus
• While performing the duties of this job, the employee is regularly required to talk and hear
• Possess the ability to fulfill any office activities normally expected in an office setting, to include, but not limited to: remaining seated for periods of time to perform computer based work, participating in filing activity, lifting and carrying office supplies (paper reams, mail, etc.)
• Frequently required to stand, walk, sit, use hands to feel, and reach with hand and arms
• Occasionally lift and/or move up to 20-25 pounds 
• Fine hand manipulation (keyboarding)
• Requires the ability to perform duties for all work shifts
• Travel required

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.

• Internal office
• The noise level in the work environment is usually low

Athletico is an Equal Opportunity Employer and does not discriminate on the basis of race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.