Job Title: Accounts Receivable Representative

FSLA Status: Full Time, Non – Exempt

Reports to:

Salary: $14.00 - $18 per hour

* Starting pay varies based on location and experience, in compliance with specific state wage regulations. Competitive rates tailored to your geography and expertise.

Summary/Objective

Provide a quality overview of client assignment accounts by researching, reviewing, and monitoring claim processing, denials, and payments by payors.

Essential Duties

• Phone calls to insurance companies on claim status, reprocessing, and appeals.
• Work and complete daily tasks.
• Navigate and work with in insurance websites, verifying eligibility and checking claim status.
• Submit medical reports for review when requested 
• Follow up on unpaid claims and research reasons for delay
• Successfully submit proper appeals and resolve claim rejections, underpayments and denials with payers by gathering correct information and resubmitting claims
• Effectively communicate payment or denial trending that impact revenue to leadership
• Maintain positive working relationships and attitude with clients
• Contact payers on a regular basis to resolve any discrepancies to get claims paid
• Process any adjustments as needed using appropriate reason codes
• Review and work aging reports
• Review and processing accounts for collections each month

Core Competencies

• Knowledge of CMS1500, COB, PHI and other medical terminology
• Ability to multitask and prioritize daily workflow.
• Good attention to detail.
• Excellent communication skills (Verbal and Written).
• Provide information regarding claims to insurance companies, attorneys, and other authorized parties while complying with HIPAA guidelines and regulations.
• The ability to work collaboratively within the department and company.

Benefits:

As an eligible employee, you will receive a competitive salary and optional benefits including medical, dental and vision insurance, short and long-term disability coverage, life insurance, retirement plans, paid time off and paid holidays.

The Company is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.