A/R Associate (Healthcare)

As an Accounts Receivable Associate, you will be responsible for analyzing patient accounts, performing follow up and collection activities, by working all denials, correspondence and outstanding insurance balances for assigned accounts.

Responsibilities:

• Review all unpaid insurance claims for assigned carriers/financial class that have been filed 30 days +, including all denials received. Confirm processed correctly or identify issue with timely processing and take action needed to resolve.
• Effectively use all resources, internally and externally, for quick and efficient resolution of insurance balance due on accounts.
• Respond to all telephone calls and emails in a timely manner, accurately and courteously, referring any potential problems to appropriate parties.
• Maintain appropriate records by documenting on all accounts accurately and completely so that others using the information can easily understand. Be aware of and follow all HIPAA guidelines.
• Meet production and quality goals as stated in objectives.
• Other duties as assigned.

Qualifications:

Education:

• High School Diploma or GED

Prior Experience:

• Minimum two years’ experience in medical billing and collections for a doctor, hospital or third-party medical billing company, or as a medical claims processor for a health insurance carrier

Special Qualifications:

• Intermediate knowledge of UB-4/HCFA 1500 claim forms
• Ability to interpret Explanation of Benefits
• Strong knowledge of CPT and ICD codes
• Basic knowledge of Microsoft Word and Excel
• Familiarity with insurance carrier websites
• Ability to thrive in a goal oriented environment that is measured for production as well as quality
• Self-starter that enjoys investigating, identifying issues, and trends, and communicating to lead