Medical Accounts Receivable Representative

Responsibilities:

Reviews third-party aged trial balances and follows-up on all unpaid claims either, by phone, mail or online in accordance with departmental procedures and insurance guidelines.

 

    Reviews patient responsibility trial balance and prepares detailed bills for outstanding balances. In addition to follow up calls and sending 1st, 2nd, 3rd and final demand letters.

 

    Completes a daily worksheet tracking workflow, collection and write off issues according to department policy

 

    Follows up on denials for payment processing and processed appeals as necessary

 

    Reviews and posts all payments received by the insurance carriers and patients to ensure accurate account balances.

 

    Reconciles monthly receipts for closing purposes.

 

    Processes refund requests according to the company policy and procedure

 

    Each Account Receivable Representative will attend and participate in an individual weekly meeting to review and discuss streamlining workload, collection issues, and status of individual goals.  In addition to a bi-weekly A/R Collection meeting to discuss departmental goals and progress.

 

 

The Account Receivable Representative responsibilities are as described above and are subject to change in accordance with the policies and procedures of the accounts receivable department.

****Candidates with strong medical insurance collection and payment posting skills required****