What are the responsibilities and job description for the Representative II, Accounts Receivable-Full-Time-Remote-Melville, NY position at napa?
Under the direct supervision of the Collections Supervisor or Manager, the Accounts Receivable Representative 2 is responsible for the effective and efficient denied claims management for assigned payers. Responsible for working high volume collection reports and correspondence, auditing accounts, submitting all levels of appeals for denied claims as necessary, updating accounts as needed, and identifying carrier-related denial trends. Maintains a thorough knowledge of all-payer types including CMS billing guidelines as well as the ability to interpret the content of managed care contracts.
Principal Duties and Responsibilities:
- Reviews evaluate, and forwards manual paper claims to payers that do not accept electronic claims or that require special handling.
- Documents billing activity on the patient account; ensures compliance with all applicable billing regulations and reports any suspected compliance issues to departmental leaders.
- Reviews claims for accuracy and coordinates with ancillary departments as needed to provide information for audits and/or record reviews.
- Based on electronic payers’ error reports, makes appropriate corrections to optimize the electronic claims submission process.
- Pursues prompt follow-up efforts on aged accounts, which may involve helping to formulate written appeals.
- Accurately documents all follow up on the account to ensure there is an accurate record of the steps taken to collect on an account.
- Monitors claim rejections for trends and issues; reports these findings to the lead biller and other departmental leaders.
- Practices excellent customer service skills by answering patient and third-party questions and/or addressing billing concerns in a timely and professional manner.
- Assists in reviewing and/or resolving credit balances.
- Participates in general or special assignments and attends required training.
The above statements reflect the general duties considered necessary to describe the principal functions of the job as identified and should not be considered a detailed description of all the work requirements that may be inherent to the position.
Position Qualifications:
Education:
- High school diploma or equivalent certification required
- Associate degree preferred
Experience:
- 2 to 4 years of customer service and/or business office experience preferred in a medical setting
- Knowledge of basic patient accounting processes and healthcare terminology is strongly preferred
Knowledge, Skills, Abilities:
- Strong computer skills (including MS Word and Excel).
- Ability to maintain accuracy while working on multiple tasks in a fast-paced environment under low-to-moderate supervision.
- Excellent verbal and written communication skills, including professional telephone etiquette.
- Ability to ensure confidentiality of sensitive information and maintain HIPAA compliance.
- Dependable in both production and attendance.
- Exceptional organization and time management skills.
Salary : $1 - $1,000,000
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