Accounts Receivable Representative

New York Metro Area, NY

Department: Healthcare Finance and Operations Job Number: 5613

Title: Accounts Receivable Representative

Location: New York Metro Area

Industry: Healthcare

Occupational Category: Finance

Hours: Full-time

Description: Hiring an Accounts Receivable Representative for a national medical practice with close to 50 locations and growing across the country. Our client offers their employees competitive compensation and benefits, flexibility and opportunity for growth and advancement.

Responsibilities:

  • Maintain insurance account receivable management for multiple offices, specialties and payers
  • Follow up with insurance companies on unpaid or denied claims.
  • Resolve claim errors and re-submit claims as appropriate for reimbursement.
  • Prepare appeal letters to insurance carrier when not in agreement with claim denial.
  • Identify and report payer issues to Unit Leads and Managers with regard to denial trends or change in payments.
  • Recommend account adjustments as appropriate
  • Maintain appropriate documentation and notes of all collection activity.

Experience Requirements:

  • Ideal candidates will have 2+ years of experience with denial management across multiple insurance carriers and specialties
  • Must have a strong knowledge of payers and medical insurance terminology for billing, local coverage determinations policies, A/R follow-up and managed care regulations

Desired Skills:

  • Must be a self-starter with problem-solving skills
  • Must be able to meet high productivity and accuracy standards.
  • Must pay exceptional attention to detail
  • Must work well in a team
  • Must have superior customer service and communication skills
  • Must be proficient in the use of computers, insurance web portals and keyboarding with knowledge of Microsoft Excel and Word required.
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