Description

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

Requirements

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