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Accounts Receivable Representative
GI Care for Kids Atlanta, GA
$66k-87k (estimate)
Full Time | Ambulatory Healthcare Services 4 Weeks Ago
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GI Care for Kids is Hiring an Accounts Receivable Representative Near Atlanta, GA

SUMMARY
The Accounts Receivable Representative must be customer service oriented, detailed in performing their job functions in accounts receivables with insurance companies and self-pays, and possess the ability to manage multiple tasks daily.
ESSENTIAL DUTIES
  • Follow up on all accounts within the timely filing guidelines of the insurance company assigned to the biller.
  • Correcting claim issues, and/or rebilling claims to third party payers. Claims must be corrected and rebilled within the timely refiling guidelines of the insurance company assigned.
  • Write appeal letters.
  • Communicating with all departments, i.e., front desk staff, nursing and providers to ensure appropriate collection of co-pays and self-pay balances prior to patient visits.
  • Contact patients after obtaining auth to discuss collection of out-of-pocket expenses prior to patient visits.
  • Documenting the appointment desk, calling guarantors and communicating balances that need to be collected.
  • Handles inquiries and answers questions for clerical staff, clinical staff, and insurance companies within a 24-hour turnaround time
  • Daily monitoring of assigned insurance A/R’s, statuses on delinquent self-pay accounts, and all assigned WQ’s.
  • Meets deadlines of completing all assigned WQ’s prior to the end of the month.
  • Identifies and resolves patient billing questions in the office and incoming calls to the business office.
  • Daily collection and/or posting payments from insurance companies and patients as assigned daily.
  • Reviews accounts and makes recommendations regarding non collectible accounts when working delinquent and collection accounts.
  • Notifies manager of non-collectible self pays and insurance balances.
  • Verifies patient eligibility through various third-party sources.
  • Understands patient benefits from various all insurance carriers and determines out of pocket and in and out of network status prior to visits in the office.
  • Documents payments collected, A/R, and phone call resolutions in software system.
  • Understands fee schedules and updates manager of fee schedule changes and effective dates timely
  • Monitors changes in policy and fee schedules for all insurance carriers assigned and informs manager.
  • Answers business office phone calls daily and on a rotating weekly schedule.
  • Explain out of pocket expenses to guarantor
  • Assist in the enrollment and explain drug rebate programs such as Care Path and Entyvio Connect and Pfizer
  • Assist patients in completion of paperwork, explain and follow up patient assistance programs when needed.
  • Communicate effectively with professional staff and patients.
  • Daily monitoring of personal business office phone line, business office phone calls and emails.
  • Ensures voicemails are returned within a 24-hour time period.
  • Responds to all emails and staff messages from manager, staff and patients in a 24-hour time period
  • Daily collection of business office mail, and routing to appropriate billers.
  • Filing of manually posted payments
  • Cross trained to fill in for other job functions on an as needed basis.
  • Additional duties as assigned by management.
EDUCATION – EXPERIENCE- KSA’s – OTHER QUALIFICATIONS
  • Associate’s degree, or equivalent, 3 to 5 years related experience, or Medical Billing Certification.
  • Experience working with medical payers including Medicaid, CMO’s and Commercial insurance.
  • Working knowledge of medical billing systems, particularly Epic.
  • Working knowledge of CPT and ICD-10 coding systems.
  • Ability to research and problem solve A/R disputes
  • Customer service oriented
  • A productive, dependable, self-starter
  • Excellent organizational skills
  • Proficiency in Microsoft Office Suite
  • Excellent verbal and written skills
  • Knowledge of medical billing / collection practices required
  • Strong keyboard skills.
  • Works well in environment with firm deadlines; results oriented.
  • Perform multiple tasks effectively.
  • Able to work both independently and as part of a team.
  • Strong analytical skills required.
  • Capable of making timely, independent decisions
COMPETENCIES
Ethics - Treats people with respect; keeps commitments; inspires the trust of others; works with integrity and ethically; upholds organizational values.
Customer Service - Manages difficult or emotional customer situations; responds promptly to customer needs; solicits customer feedback to improve service; responds to requests for service and assistance; meets commitments.
Interpersonal Skills - focuses on solving conflict, not blaming; maintains confidentiality; listens to others without interrupting; keeps emotions under control; remains open to others' ideas and tries new things.
Organizational Support - Follows policies and procedures; completes administrative tasks correctly and on time; supports organization's goals and values; benefits organization through outside activities; supports affirmative action and respects diversity.
Teamwork - Balances team and individual responsibilities; exhibits objectivity and openness to others' views; gives and welcomes feedback; contributes to building a positive team spirit; puts success of team above own interests; able to build morale and group commitments to goals and objectives; supports everyone's efforts to succeed.
PHYSICAL DEMANDS AND WORK ENVIRONMENT
  • Frequent sitting, grasping, and speaking
  • Occasional reaching, bending and stooping
  • Frequent use of computer, keyboard, copy/fax machine, and phone
  • Possible exposure to infectious specimens (blood or bodily fluids or airborne pathogens).
  • May be required to wear Personal Protective Equipment (PPE).
  • While performing the duties of this job, the noise level in the work environment is usually quiet to
moderate.
  • Fast paced environment with occasional high pressure or emergent situations.
  • Work hours subject to office needs to ensure coverage during all hours of operation.

Job Summary

JOB TYPE

Full Time

INDUSTRY

Ambulatory Healthcare Services

SALARY

$66k-87k (estimate)

POST DATE

03/28/2024

EXPIRATION DATE

05/27/2024

WEBSITE

gicareforkids.com

HEADQUARTERS

ATLANTA, GA

SIZE

25 - 50

FOUNDED

1980

CEO

WARD C BOURDEAUX MD

REVENUE

$5M - $10M

INDUSTRY

Ambulatory Healthcare Services

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About GI Care for Kids

At GI Care for Kids,our mission is to provide the best possible care for your child with a condition of the esophagus, stomach, intestines, liver, or pancreas. Our seventeen board-certified pediatric gastroenterologists" have been trained at the top academic centers in the United States. As the largest practice specializing in gastrointestinal care for children in the Southeast, we have the ability to offer your child cutting edge care close to home.

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The following is the career advancement route for Accounts Receivable Representative positions, which can be used as a reference in future career path planning. As an Accounts Receivable Representative, it can be promoted into senior positions as an Accounts Receivable Clerk III that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Accounts Receivable Representative. You can explore the career advancement for an Accounts Receivable Representative below and select your interested title to get hiring information.

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If you are interested in becoming an Accounts Receivable Representative, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become an Accounts Receivable Representative for your reference.

Step 1: Understand the job description and responsibilities of an Accountant.

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Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.

Career tips from people on Accounts Receivable Representative jobs

Generate reports and statements for internal use.

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Establish a clear collections process.

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Promptly handle denied or rejected claims.

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Accounts receivable can be the lifeblood of any organization.

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