Associate Accounts Receivable Representative

Overview

This role involves working as an Associate Accounts Receivable Representative within a regional business office's Accounts Receivable (A/R) department. The primary responsibility is to ensure thorough and timely follow-up on patient accounts to maintain accurate accounts receivable reporting. The position requires interaction with insurance companies and third-party payers to verify that payments from primary and secondary payers, as well as self-pay patients, are accurate and received promptly. This role is essential to the revenue cycle process and requires adherence to organizational policies and values.

The work schedule is Monday through Friday, with hours between 7:30 AM and 5:00 PM EST.

Responsibilities

• Ensure accuracy of payments from primary and secondary payers and self-pay patients.
• Conduct thorough and timely follow-up on patient accounts to maintain accurate accounts receivable reporting.
• Achieve and maintain cash collection metrics and goals.
• Independently handle second-level reimbursement issues, including contracted and non-contracted denials for services before and after procedures.
• Operate effectively in a fast-paced environment requiring attention to detail, accountability, teamwork, and professional behavior.
• Collaborate closely with payer provider relations representatives.
• Contact insurance companies via email and phone to collect payments.
• Manage reimbursement issues related to contracted and non-contracted plans, including HMO, PPO, EPO, POS, Worker’s Compensation, self-pay, and third-party payers.
• Work all denials and corrected claims in collaboration with billers, Business Office Managers, insurance payers, and patients on past due accounts.
• Manage credit balances, patient balance resolution, and non-patient (insurance) resolution.
• Focus primarily on collecting payments from insurance companies rather than self-payers or individuals.

Requirements

• High School Diploma or GED.
• Experience with healthcare denials and appeals is required.
• Familiarity with Explanation of Benefits (EOB) and the ability to read medical policies from payers.

Compensation & Benefits

• Hourly pay range: $20.00 to $23.00 per hour.
• Benefits package includes health and dental insurance options, paid time off (PTO), 401(k) plan with company match, life and disability insurance, and more.
• Benefits eligibility begins on the first day of employment.

Location

• This position operates on Eastern Standard Time hours, Monday through Friday, with flexible start times between 7:30 AM and 5:00 PM.