We have an immediate need for an experienced Account Receivable representative to work with a company located in the city of Santa Ana. This is a temp-to-hire position that offers a pay rate between $17-$19 DOE.
Job description and requirements for Account Receivable representative
Follow up on all assigned insurance claims to ensure appropriate reimbursement for our clients.
Process assigned AR work lists provided by the manager
Develop a plan to complete worklists by the assigned due date
Call plans on work lists for claim status
Reviews accounts to determine appropriate follow-up action
File appeals on claim denials and underpayments as appropriate.
Recommend accounts to be written off on Adjustment Request.
Reports address and/or filing rule changes to the manager
Check system for missing payments
Properly notates patient accounts
Review each piece of correspondence to determine specific problems
Research patient accounts
Take appropriate actions (adjustments, letters, phone insurance, etc.).
Scan correspondence and index to the proper account
Answer telephone according to team requirements
Route client calls to the appropriate RCM
Respond to insurance company claim inquiries
Meets daily production goals as assigned by management
High School Diploma or GED
One year in the data entry field
One year in medical billing, anesthesia preferred
Intermediate-level knowledge of medical billing rules, such as coordination of benefits, modifiers, Medicare and Medicaid, and understanding of EOBs
