Accounts Receivable Representative

Job Description

Indiana Nephrology & Internal Medicine, P.C. is currently seeking an experienced Accounts Receivable Representative. The A/R Representative under the supervision of the Revenue Cycle Manager will be responsible for assisting the revenue cycle team by performing one or more aspects of routine physician revenue cycle billing. Communicate and work with our various locations, patients, payers and other external entities to obtain the necessary information to process claims, collect cash and reduce AR.

In this position the A/R Representative will review accounts for assigned payers in order to reduce account receivables and enhance cash flow. This position is responsible for all aspects of electronic or paper claim submission. The incumbent assumes responsibility for following proper insurance processes, timely follow-up and resolution of accounts and provides feedback to management when internal problems resulting in nonpayment or claims are detected. Reports compliance issues from daily account review/payer information to management.

Essential Functions:

• Manage patient account(s) to ensure accurate and timely filing of all claims.
• Research unpaid and denied insurance claims in an expeditious manner to ensure account resolution and claim payment.
• Initiate appeals and/or refile claims for all denials.
• Communicates with customers by telephone and approved written correspondence to bring resolution to past due accounts.
• Arranges for debt repayment and establishes repayment schedules, based on customers' financial situations and company policies.
• Request refunds according to INIM policies and guidelines.
• Have an in-depth understanding of insurance rules and regulations, CPT/ICD10 coding information, explanation of benefits and company billing procedure(s).
• Develop and establish network connections with insurance provider representative(s) as well as other critical department(s) within insurance carrier(s).
• Communicate with team member(s) and Revenue Cycle Manager regarding billing issue(s), insurance process(es) and denial trends. Present problems to team with a solution-based approach.
• Coordinate with insurance carriers to obtain electronic payments and remittances for payments to INIM.
• Respond to patient requests and/or questions regarding financial accounts, insurance payment and patient balances.
• Maintain confidentiality and compliance with HIPAA rules and regulations.

Qualifications/Skills/Abilities

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or abilities required.

• High School Diploma or equivalent.
• Two years of healthcare insurance experience.
• Working knowledge of Medicare, Medicaid, Anthem Blue Cross Blue Shield, Managed Care and commercial carriers.
• Strong interpersonal skills with ability to work with people at all levels of an organization.
• Demonstrated ability to work independently within interpretive guidelines.
• Takes initiative and performs effectively in fast-paced and constantly changing environment.
• Effective oral and written communication skills.
• Excellent responsive customer service focus and great team player.
• High level of skills in handling sensitive and confidential information with demonstrated ability to maintain strict confidentiality.
• Working knowledge and experience with MS Office and internet sourcing.
• Ability to research and analyze data.
• Ability to make recommendations to effectively resolve problems or issues by using judgement that is consistent with the organizations standards, practices, policies, procedures, regulations or government laws.
• High level of professionalism
• Strong Critical Thinking
• Proficiency with EMR systems and software applications (Epic/Acumen), including Microsoft Office Suite
• Requires working knowledge of medical terminology

Location

The position’s will be based at the Administrative Office.

If you have experience in a medical environment as an Accounts Receivable Representative, we encourage you to apply. This is great opportunity!

Interested candidates must submit a resume for consideration!

Job Type: Full-time

Job Type: Full-time

Pay: From $20.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Health insurance
• Life insurance
• Paid time off
• Retirement plan
• Tuition reimbursement
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Ability to Commute:

• Indianapolis, IN 46260 (Required)

Ability to Relocate:

• Indianapolis, IN 46260: Relocate before starting work (Required)

Work Location: In person

Salary : $20