What are the responsibilities and job description for the Accounts Receivable Representative - RCM Medical Billing position at nimble solutions?
Job Type
Full-time
Description
Why you’ll want to work at nimble!
This is a great opportunity to join a well-established and market-leading brand serving a high-growth end market while gaining valuable experience and visibility to Executive leadership. As an organization, we are in considerable growth mode through acquisitions and with a laser focus on positive culture-building.
As an Accounts Receivable Representative, you will primarily be on the phone with insurance companies, overturning denied claims. You will also write appeals to insurance companies to overturn denied/underpaid claims, as well as being exposed to a list of national payers working in multiple states, multiple systems, and collaborating with team members.
On a typical day, you will be:
Who you are:
Full-time
Description
Why you’ll want to work at nimble!
This is a great opportunity to join a well-established and market-leading brand serving a high-growth end market while gaining valuable experience and visibility to Executive leadership. As an organization, we are in considerable growth mode through acquisitions and with a laser focus on positive culture-building.
As an Accounts Receivable Representative, you will primarily be on the phone with insurance companies, overturning denied claims. You will also write appeals to insurance companies to overturn denied/underpaid claims, as well as being exposed to a list of national payers working in multiple states, multiple systems, and collaborating with team members.
On a typical day, you will be:
- Working in multiple practice management systems and other workflow technologies
- Receiving client inquiries and addressing them in a timely manner as they relate to unpaid insurance claims
- Checking payer portals for insurance claim statuses
- Participating in team meetings and client meetings
- Working with leadership to increase client collections i.e., getting additional insurance claims paid
- Learning how to prioritize a work queue for maximum efficiency
- Having fun, building relationships, and contributing towards maintaining positive team morale
- Call insurance carriers to obtain timely processing of patient claims
- Calling payers to understand why insurance claims were denied or paid incorrectly
- Document contract with insurance carriers and estimated payment date
- Provide information to expedite claim processing
- Review and understand system notes
- Writing and submitting appeals
- Successfully meeting facility goals and KPI’s
- Attach appropriate documentation (i.e., Op Note, Invoice, etc.)
- Review claims to ensure fields are complete and accurate
- Maintain daily record of activities
- Use system reports to manage accounts receivable (AR)
- Prioritize accounts based on high dollar and days in AR
- Document write-offs and submit refund requests
- Maintain batch logs in a file by date
- File activity into monthly charts by facility
Who you are:
- 1 years of experience in medical billing or accounts receivable
- Experience using Epic, NextGen, HST, Athena, Cerner, Availity or other large EMR software is highly preferred
- High school diploma or equivalent
- Possess an exceptional customer service mindset with a focus on high-quality delivery
- Consummate team player
- Work with a sense of urgency
- Task oriented
- Organized and attention to detail
- Ability to communicate in a professional atmosphere and be comfortable on the phone for the majority of the day
- Work in a competitive environment
- Amazing attitude
- Dedication
- Collaboration
- Creativity
- Out-of-the-box thinking
- A sense of humor and fun
- Remote
- 8-hour shift
- Day shift
- Monday to Friday