Medical Accounts Receivable Representative

Position Summary
This position is responsible for the monitoring and processing of reconsideration requests, denial appeals, short payment appeals, and the follow-up of aged accounts. Experience with governmental and non-governmental payers is preferred. Experience providing patient assistance, including explaining insurance coverage and EOBs strongly preferred. Individuals selected must be able to work from our office located at 400 Edison Way, Reno, NV with the ability to work a hybrid schedule once cleared from training. The schedule is Monday through Friday, day shift.

Within this general framework, this position is accountable for the following functions: 

• Research accounts for additional billing and demographic information that may be missing and obtaining same information from hospitals or other sources, when applicable.
• Knowledge/compliance of Medicare standards and audits.
• Ability to read, understand and communicate an EOB.
• Meet established productivity levels for accounts worked.
• Maintain a professional demeanor.
• Collect on and close accounts in a timely manner.
• Monitor and follow up on assigned workflows.
• Enter all ticket information as presented including demographic information, diagnosis coding, charges, etc., in an accurate and timely manner, into the billing system.
• Performs other duties as assigned.

Qualifications/ Experience Requirements

• A minimum of 2 years’ experience of the medical billing industry required. 
• Accounts Receivable collection experience desired.
• Has taken and passed the Certified Ambulance Coder (CAC) exam (or completion of CAC exam within 1 year of employment)
• Detailed knowledge of Medicare, Medicaid, Medi-Cal and Private insurance billing and collection practices.
• Comprehensive knowledge of bill schedules. 
• Proven record of ability to manage a billing or collection workload with results demonstrated by both quantitative and qualitative controls. 
• Ability to identify potential problems and bring to management’s attention. 
• Requires minimal supervision. 
• High attention to detail
• High School diploma or equivalent.
• Familiar with insurance billing guidelines and practices. 
• Familiar with medical terminology. 
• Knowledge of basic math, punctuation, grammar, spelling, and business correspondence.
•  Intermediate experience with Microsoft Office and Google Suites.
• Ability to set priorities, adapt to change, and show initiative. 
• Excellent organizational communication skills.
• Experience working with insurance websites a plus.