Accounts Receivable Representative

Summary

National Partners in Healthcare (NPH) is a progressive healthcare company specializing in anesthesiology. The Accounts Receivable Representative is responsible for collecting outstanding accounts receivable from patients and third-party payers.

Responsibilities

• Phone insurance companies for status on outstanding claims
• Process and follow up on appeals to insurance companies
• Phone patients for payment or payment arrangements on outstanding balances
• Print and re-file claims as needed
• Work correspondence daily
• Answer incoming patient, insurance company and physician office telephone calls
• Research/audit patient accounts for further payment or adjustments
• Work Analyzer reports as assigned
• Maintain basic proficiency with using spreadsheets
• Work outstanding Accounts Receivable from Collector Queue with proficiency within 30-60 days employment
• Must be able to work 40-50 accounts daily
• Maintain accuracy rating of 90% or greater on audited accounts
• Meet productivity standards as set by the department
• Maintains strictest confidentiality
• Adhere to all company policies and procedures
• Adherence to and compliance with information systems security is everyone’s responsibility. It is the responsibility of every computer user to: Know and follow Information Systems security policies and procedures. Attend Information Systems security training, when offered. Report information systems security problems
• Perform other duties as assigned

Skills

• High-school graduate or equivalent
• Two years of collection experience in a healthcare (hospital or physician office) setting
• Skill in verbal and written communication
• Basic math skills for calculating anesthesia units and proper reimbursement
• Medical terminology
• Basic knowledge of insurance processing, guidelines and laws
• Knowledge of managed care, Medicare and Medicaid guidelines
• Data entry skills
• Knowledge of CPT, ICD-10 and ASA codes
• Decision making ability
• Strong analytical skills
• Skilled in researching and reporting payer trends
• Ability to work effectively with staff, physicians and external customers
• Must have a pleasant disposition and high tolerance level
• Must be able to work as part of a team
• Ability to work independently with limited supervision
• Skill in computer applications including MS Word, MS Excel and OneNote
• Associate or bachelor's degree in business administration or related field of study

Qualifications

Must Haves

• High-school graduate or equivalent
• Two years of collection experience in a healthcare (hospital or physician office) setting
• Skill in verbal and written communication
• Basic math skills for calculating anesthesia units and proper reimbursement
• Medical terminology
• Basic knowledge of insurance processing, guidelines and laws
• Knowledge of managed care, Medicare and Medicaid guidelines
• Data entry skills
• Knowledge of CPT, ICD-10 and ASA codes
• Decision making ability
• Strong analytical skills
• Skilled in researching and reporting payer trends
• Ability to work effectively with staff, physicians and external customers
• Must have a pleasant disposition and high tolerance level
• Must be able to work as part of a team
• Ability to work independently with limited supervision
• Skill in computer applications including MS Word, MS Excel and OneNote

Nice to Haves

• Associate or bachelor's degree in business administration or related field of study

Benefits

• Competitive Pay and Benefits Package
• Generous Paid Time Off
• 401K Contribution/Safe Harbor
• Flexible Work Environment
• Career Advancement Opportunities with a Growing Company
• On-site Fitness Center and Café
• Underground Parking with Badge Access