AR Representative - Professional Medical Billing

*This is not a fully remote position - you must be able to commute and report to our Mount Laurel office. Semi-remote work may be available after the successful completion of a 90 day introductory period.

Acentus is currently seeking an Accounts Receivable (AR) Representative to join our team! As an AR Representative at Acentus, you will report directly to an AR Manager or AR Supervisor and work alongside other AR Representatives on one of our AR Teams: Commercial Payors, Managed Medicare & Medicaid Payors, Government Payors, Specialty Payors, or Eligibility and Edits AR. Our AR teams also work closely with our internal Payment Posting and AR Coding teams and a variety of external groups to ensure cohesive and efficient billing practices. The ideal AR Representative maintains a positive attitude, is self-motivated and detail-oriented, and has excellent problem-solving skills which allow the delivery on on-time results to ensure the success of individuals and the organization.

In this position, you will be responsible for a variety of revenue related billing activities requiring data research and analysis, time management, self-motivation, and teamwork. Proactive and clear written and verbal communication skills are essential as communicating with internal and external parties is a large part of this role. AR Representatives act as a billing system super-user, perform simple to complex billing functions, and demonstrate an understanding of all business lines as they relate to the role’s responsibilities. You will be expected to monitor your team’s payor’s financial performance by identifying and reporting trends and proposing ways to reduce and prevent denials. Daily duties of an AR Representative include ensuring claim payment issues are resolved timely and efficiently, resolving EOB discrepancies, researching denials, and meeting key performance indicators (KPIs). Benchmarks and KPIs for an Acentus AR Representative I include, but are not limited to: net and gross collection rates, days in AR, rejections, and percentage of AR over 90 and 120 days.

Responsibilities and Duties

A qualified and dedicated AR Representative will:

• Follow up on submitted claims for payment
• Meet productivity standards and minimum requirement of at least 50-60 accounts per day
• Monitor unpaid claims and resubmit claims with appropriate corrections and/or documentation
• Work denied claims and resubmit replacement claim for payment
• Report denial trends to management
• Provide timely, accurate, and professional responses to internal, patient, and third party inquiries
• Research and resolve simple to complex issues and escalate issues to management
• Research no response claims and report root cause to management
• Work with billing managers to resolve and prevent coding denials
• Maintain and submit a detailed issues log to his/her manager to identify practice and/or payer trends
• Report needed system updates to manager
• Research payer policies and insurance eligibility changes and communicate changes to key personnel
• Work special payor projects as assigned

Qualifications and Skills

Successful candidates will possess the following qualifications and skills:

• Bachelor’s degree preferred, HS diploma/GED required
• Minimum of 4 years’ of experience in professional medical billing or similar role
• Ability to troubleshoot and problem solve in a healthcare setting
• Knowledge of CPT and ICD-10 coding
• Proficient understanding of HIPAA compliance practices
• Prior experience utilizing billing systems and electronic medical records (EPIC preferred)
• Proficient knowledge and a working understanding of Microsoft Excel and Word
• Knowledge of and experience using payer tools (e.g. Navinet, etc.)
• Excellent research abilities, attention to detail, and communication skills
• Outstanding problem-solving and organizational abilities
• Self-motivation, including multitasking and time management
• Positive attitude and team player

Company Overview

Founded in 2017 and focused on quality, Acentus Practice Management, LLC. (Acentus) is a growing full-service Revenue Cycle Management (RCM) company. Acentus provides customized solutions and real results for local Physician Groups and Ambulatory Surgical Centers. Following the Acentus values of professionalism, compliance, integrity, and respect allows our organization to reduce claim errors, ensure timely claim payments, and increase claim reimbursement.

Acentus offers a fast-paced and dynamic work environment that focuses on teamwork, quality, efficiency, and customer service. At Acentus, we value diversity and respect and reward employees for outstanding performance through employee of the month recognition and bi-annual bonuses. There is always opportunity for growth and our friendly and supportive leadership will help you thrive in your career. In addition, we offer a variety of comprehensive benefits, ongoing training, and flexible work schedules. Visit Acentus.org to learn more.

Job Type: Full-time

Pay: $20.00 - $25.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible schedule
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Day shift
• Monday to Friday

Work Location: In person

Salary : $20 - $25