Overview
We are seeking a detail-oriented and motivated A/R Representative to join our team. The ideal candidate will play a crucial role in ensuring accurate billing, timely reimbursement, and denial minimization. This position requires strong analytical skills, attention to detail, and a proactive mindset
Responsibilities
- Submit claims on time to primary, secondary and tertiary payers
- Review rejected claims and make necessary changes for resubmission
- Follow up on denied or unpaid claims with insurance companies
- Research claim rejections and denials as needed
- Perform disputes, appeals, and corrected resubmissions on denied claims
- Apply adjustments and denials to correct line items when received
- Conduct account analysis to identify discrepancies and resolve issues promptly.
- Collaborate with the coding and payment processing teams as needed
- Recognize CPT and ICD-10 terminology as needed
- Maintain organized records related to accounts receivable
- Ensure accurate claims information, including patient data, diagnoses and procedure codes through collaboration with coding team
- Perform data entry tasks accurately
Preferred Qualifications
- Proven experience in accounts receivable or related billing roles, preferably within the medical field
- Familiarity with revenue cycle management and medical collection practices
- Experience using payer portals, HER systems, RCM software, clearinghouses
- Strong analytical skills with the ability to perform account reconciliation
- Excellent math skills combined with attention to detail for accurate data entry and reporting.
- Demonstrated ability to communicate effectively over the phone while maintaining professional phone etiquette
- Ability to interpret and apply remittance advice to accounts