What are the responsibilities and job description for the IHTSC Accounts Receivable Representative position at orthotalent?
Facility:OI IHTSC Harcourt, Indianapolis, IN
Department: Accounting
Shift Details: Mon-Fri 8a-5p
Great people are the backbone to great care and patient satisfaction. In return, we’ll have your back—offering our employees a supportive team environment, great benefits, a true work/life balance, and the opportunity to positively impact the quality of life for our patients. Join TEAM OI.
General Statement of Duties
The Accounts Receivable Representative reviews outstanding patient accounts in Allscripts queues by aging categories current through 150 days for assigned corporate entity(s), and/or payer(s) on daily basis. Reduces and maintains outstanding account balances. Maintains, or reduces, set benchmark percentages as set for each aging category. Communicates with billing company issues and/or concerns.
Essential Duties:
- Follow policies/procedures set for working billing queues, ECODE, EREG, Refund, IHTSC Authorizations, and Unidentified. Process unassigned payments not posted to patient accounts.
- Direct phone contact with insurance carriers and/or patients regarding outstanding balance due.
- Completion of mail inquiries from insurance carriers requesting additional information for payment review.
- Work with financial counselor to ensure collection of payments at time of service and/or for delinquent account balance due, or insurance updates.
- Maintain current knowledge of specific carrier assigned. Contractual agreements. (Medicare policies, updates, contractual adjustments, etc.). Along with current procedural terminology, healthcare common procedure coding and HIPPA guidelines.
- Notification to manager of “low” payments received from carriers.
- Perform other duties as directed by manager and/or corporation.
- File grievances/appeals on denied procedures (inclusive, modifiers, etc.)
- Work with billing company to resolve patient, and insurance account issues.
Requirements:
- High School Diploma/GED required
- 2-4years of experience required
OrthoIndy is an Equal Opportunity Employer
