Accounts Receivable Rep - IMG MSO

MAJOR FUNCTION:Ensures that all charges billed are paid accurately and within the required time parameters by identifying and taking the required steps to investigate and resolve payment denials and other payment issues.

QUALIIFCATIONS:

Education & Experience:

• High School diploma or equivalent required.
• 1-2 years medical physician billing or collections required.

Certification/Licensure:

• AHIMA Certified Coder, AAPC Certified Coder, or coding experience a plus.

Knowledge & Skills:

• Knowledge of Windows-based software applications (Word, Excel, etc.).

Position Responsibilities

• Investigates and takes the appropriate steps to address and resolve payment denials and

incorrectly paid accounts.

• On a daily basis, reviews the denial que and researches and resolves these claims issues

contacting the pertinent parties by telephone or insurance website.

• Reviews the que on a daily basis to capture "no response" claims and to follow-up or reexamine claims "with response" at least every 30 days until the account is resolved

appropriately.

• Identifies practice and/or payer-specific trends that cause an increase in the A/R aging

and works with leadership to resolve.

• Reviews Revenue Manager for claim rejections (or claim edits) – electronic claims that are

flagged for incorrect or invalid information on the original electronic claim. Determines

reason for rejection and identifies claim form locators causing the errors. Corrects

information submitted internally causing the rejection and resubmits claim. Escalates

issues to supervisor that require further investigation.

• Updates Cerner Millenium with notes to reflect account status and collection activity.
• Provides timely communication to leadership with regards to payer issues and updates.

At Inspira Health, you’ll join with the area’s most dedicated and distinguished team to bring quality and compassionate care to our communities. We focus on clinical excellence, providing evidence-based care to help each patient achieve the best possible outcome. The scope and depth of our network can open many doors for your learning and career growth.

Our charitable nonprofit health care organization serves communities across southern New Jersey. The network, which traces its roots to 1899, comprises three hospitals, a comprehensive cancer center, sleep medicine, cardiac testing, digestive health and wound care, urgent care, imaging and rehabilitation, and primary and specialty physician practices in Gloucester, Cumberland, Salem and Camden counties.

Inspira is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, religion, creed, color, national origin, ancestry, age, marital status, affectional or sexual orientation, familial status, disability, liability for service in the Armed Forces of the United States, nationality, sex, gender identity or expression.