Medical Accounts Receivable Representative

:
**Responsibilities**:

- Work through book of AR and develop plan for maintaining proper coverage on all accounts
- Review aged accounts, trace, and appeal unpaid and/or erroneously paid or denied accounts
- Work all denials and rejections received by researching steps previously taken and take additional action, as needed to resolve the claim
- Reviews and corrects claim rejections received from clearinghouse
- Verify eligibility, coverage and claim status online through insurance we portals
- Resubmit insurance claims that have received no response or are not on file
- Transferring outstanding balance to patient or next responsible party whenever required
- Make corrections on CMS 1500 claim form and rebill claims
- Work on Commercial, Medicaid, Tricare, and Worker’s Compensation denials/rejections
- Document insurance denials/rejections properly
- Communicate claim denials/rejections details related to missing information with client
- Works with other staff to follow-up on accounts until zero balance
- Maintains required billing records, reports, files
- Review and address correspondence daily
- Identify trends and inform client lead/manager, as appropriate
- Escalate issues to client lead/manager, as appropriate
- Other responsibilities as assigned.

**Role Information**:

- Full-Time
- Eligible for Benefits

**Requirements**:
**Required Knowledge, Skills, Abilities & Education**:

- Minimum of one year's experience working with a healthcare provider or an Associate’s Degree in Healthcare Management, Business Management or a related field
- Experience with healthcare billing and collections
- Experience with various practice management systems (Advantx, HST, Vision, Amkai, SIS, Cerner, CPSI, Meditech, CEntricity, Allscripts, AdvancedMD)
- Experience with revenue cycle management and follow-up
- Experience with facility and/or professional revenue cycle experience
- Minimum tenure of 1-2 years in each previous position held
- Proficient with MS Outlook, Word, and Excel
- Ability to work independently and as part of a team
- Strong attention to detail and speed while working within tight deadlines
- Exceptional ability to follow oral and written instructions
- A high degree of flexibility and professionalism
- Excellent organizational skills
- Strong interpersonal and persuasive abilities in order to secure accurate and timely payment from patients
- Ability to work in a fast-paced environment
- Outstanding communications skills; both verbal and written
- Positive role model for other staff and patients by working with them to promote teamwork and cooperation

**Preferred Knowledge, Skills, Abilities & Education**:

- Experience working in an Ancillary/Ambulatory Surgery Center (ASC)
- Strong Microsoft Office skills in Teams
- Comfortable with electronic and manual payor follow-up
- Able to quickly identify trends and escalate, as appropriate
- Ability to read, analyse and interpret insurance plans, financial reports, and legal documents
- Tenure of greater than two years at all previous employers with no gaps in employment

**Physical Demands**:

- Sitting and typing for an extended period
- Reading from a computer screen for an extended period
- Work environment of a traditional fast-paced and deadline-oriented office
- Working closely with others
- Frequent verbal communication, primarily over the phone, and face-to-face interaction
- Working independently
- Frequent use of a computer and other office equipment

**Key Competencies**:

- Attention to detail
- Responsiveness
- Customer Service
- Execution
- Communication

**Department**

Revenue Cycle Services

**Open Positions**

1

**Skills Required**:
Ambulatory Surgery Center, Advantx, HST, Vision, Amkai, SIS, Cerner, CPSI, Meditech, CEntricity, Allscripts, AdvancedMD)

**Location**

Noida, Uttar Pradesh, India

**Years Of Exp**

2 to 2 years

**Designation**

Billing Executive

**Posted On**
-:
07-Apr-2025