Accounts Receivable Representatives Needed!

SUMMARY   The Accounts Receivable Rep is responsible for researching, processing and resolving patient accounts balances.

 JOB DUTIES

 
Process weekly workfiles as assigned by Cluster Supervisor. Processing includes the following tasks:
Accessing the workfile invoices via PCS.
Identifying the necessary steps to resolve the invoice to a –0- balance
Preparing a detailed Workfile summary to the Supervisor at week’s end.
Take necessary steps to resolve the account, which includes but is not limited to: 
Contacting insurance carriers via phone
Researching information on electronic media (Internet)
Researching paid Explanation of Benefits
Requesting chart copies and EOBs from Clerical Dept
Obtaining claims status via phone or electronic media
Demanding and filing new claims
Verifying patient eligibility
Changing invoice FSC responsibility and refile claim

 

 
Process “Re-Routed” claims via correspondence from payor sources, which includes but is not limited to:

 
Contacting insurance carriers via phone
Researching information on electronic media (Internet)
Verifying patient eligibility
Changing invoice FSC responsibility and refile claim

 
Special Projects as Assigned by Management
Rejection Processing, as assigned by Management.
Assistance in new hire training and guidance, as requested by Management.

 

 

 PHYSICAL ENVIROMMENTAL DEMANDS

 

This job should be performed in a well-lighted, well-vented, and temperature-controlled modern office setting.  Requires being able to deal with management team as well as other interdepartmental companies. Requires constant sitting tolerance and constant keyboard work.  Must be flexible, independent, and able to meet deadlines.  Jobs performed need little or no supervision.

 

 

 OTHER RESPONSIBILTIES AMD ACCOUTNABILITY

 

Performance of other non-essential duties may be requested. Occasional Overtime is required.

 

 

JOB QUALIFICATIONS

 
 A minimum of one to two years of computer experience in an office environment.

 
A minimum of 2 years in the healthcare billing/Accounts Receivable industry, or similar industry.

 
Familiar with  health insurance payor programs such as Medicare, Medicaid and Managed Care .

 
Minimum of 1-2 years in a customer service role; good interpersonal and communication skills necessary.

 
Must use good judgment and reasoning skills.

 
Must be flexible and independent. Kelly Services is an Equal Opportunity EmployerContact Information :.Kelly Services