Accounts Receivable Representative

Medical Account Receivable Representative

Must have experience with high volume medical Account Receivable including, appeals and denials (including writing and filing medical necessity letters)

Location: Grapevine, TX 76051 (100% onsite)

Pay: $20-$26/hour based on experience

Hours: 7:30 AM - 4:30 PM or 8:00 AM - 5:00 PM

Casual Work Environment

Key Responsibilities:

1. Claims Investigation & Analysis: Ensure accurate payment for all accounts through collections, appeals, and billing procedures.
2. Documentation Management: Maintain proper and timely updates to all accounts, including creating notes and reviewing medical record documentation.
3. Financial Counseling: Assist patients with understanding their balances or future balances due.
4. Coding Review: Interpret operative reports for appropriate ICD-10 and CPT coding.
5. Assist with EDI Process: Work within the 3–5-day turnaround for claims correspondence.

Requirements:

1. Education: High School diploma or equivalent.
2. Experience: Minimum of 3 years in medical collections.
3. Skills: Detail-oriented with strong organizational skills, familiarity with insurance verification, pre-certification, payment posting, and financial counseling is a plus.
4. Knowledge: General understanding of Medicare, third-party payors, collection laws, and medical billing codes.
5. Certifications: AAPC Certified Medical Coder is a plus but not required.
6. Communication Skills: Ability to communicate effectively in English (both written and verbal).
7. Technical Skills: Proficiency in computer usage, typing, and basic calculator operation.

Additional Information:

• The role requires managing high-volume medical accounts, handling appeals and denials and possibly assisting with Medicare pre-checks.
• Strong organizational skills, the ability to work independently or with a team, and the ability to process correspondence in a timely manner are critical for success in this role.