Accounts Receivable/Billing Representative

Title: Accounts Receivable/Billing Representative

Location: Stuart, FL,34996

Duration: 12 months

Description:

To process medical billing claims, collect patient or provider payments, resolve questions and problems with a customer’s accounts, process patient refunds, appeals to include re-determinations and re-submissions of billing to patient payers for payment on medical supply orders

 Primary duties and responsibilities

• Receive payment denials and to investigate the reason and rectify the situation with the payer or patient
• Receive inbound and place outbound calls from and to customers, Medicare, Medicaid and Commercial insurance providers regarding patient accounts
• Provide written correspondence to audit requests to include investigation and obtaining of appropriate documentation to be attached to response
• Document status of billing and payment process in patient account for future follow-up
• Keep current on payer requirements via research and coaching to ensure guidelines and procedures are being met for each payer
• Answer and follow up on calls from patients with billing questions
• Complete all end of month reports as requested, directed or assigned
• Complete all internal system service ticket requests as assigned
• Work miscellaneous projects and tasks on an as needed basis

Ancillary duties and responsibilities

• Maintain a positive work atmosphere that embodies Liberator’s philosophy- Professional excellence, teamwork and integrity.
• Maintains a production level between 20-40 accounts per day ensuring quality of work is above average. Production rates are at the discretion of management and are subject to change with our without prior notification.
• Maintains a better than average attendance score
• Performs other duties and tasks as assigned

Reporting Relationship Responsibilities

• No supervisory responsibilities
• Provides work direction only
• Provides work direction plus has responsibility for hiring, promotions, transfers, performance management, discipline, and discharge.

Minimum Requirements or Qualifications

• (To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.
• The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions)

Education/Experience:

• High School Diploma or general education degree (GED); two to four years prior medical supply billing experience and/or 1-3 years prior experience as an AR Billing Representative I exceeding performance levels and expectations for that role.

Skills:

• Language: Ability to read, analyze, and interpret medical supply publications, technical procedures, and/or training tools. Ability to write internal and external business correspondence. Ability to effectively present information and respond to questions from management, team members, and/or customers.
• Math: Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, and percentages. Ability to apply intermediate math skills.
• Reasoning: Ability to solve practical problems and deal with a variety of variables. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. Advanced analytical reasoning to include ability to forecast exponentials within work flow processes and reason against outside factors.
• Computer: Knowledge of Microsoft Office Applications, Access or other database software.
• Telecommunications: ability to utilize or knowledge of call center telecommunications software

Reporting Relationship Responsibilities

• No supervisory responsibilities
• Provides work direction only
• Provides work direction plus has responsibility for hiring, promotions, transfers, performance management, discipline, and discharge.

Minimum Requirements or Qualifications

• (To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.
• The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions)

Education/Experience:

• High School Diploma or general education degree (GED); two to four years prior medical supply billing experience and/or 1-3 years prior experience as an AR Billing Representative I exceeding performance levels and expectations for that role.

Skills:

• Language: Ability to read, analyze, and interpret medical supply publications, technical procedures, and/or training tools. Ability to write internal and external business correspondence. Ability to effectively present information and respond to questions from management, team members, and/or customers.
• Math: Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, and percentages. Ability to apply intermediate math skills.
• Reasoning: Ability to solve practical problems and deal with a variety of variables. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. Advanced analytical reasoning to include ability to forecast exponentials within work flow processes and reason against outside factors.
• Computer: Knowledge of Microsoft Office Applications, Access or other database software.
• Telecommunications: ability to utilize or knowledge of call center telecommunications software
•