InHealth Systems & Services
  • 04-May-2017 to 31-Oct-2017 (PST)
  • Atlanta, GA, USA
  • Hourly
  • Full Time

Medical, Dental, 401K, Disability, Employee Stock Ownership Program


JOB TITLE:  Medical Bill A/R Representative

 

DEPARTMENT:  Revenue Cycle Management (RCM)

 

OVERALL RESPONSIBILITIES:

The RCA (Revenue Cycle Administrator) is responsible for supervising the timely and accurate posting of patient demographics, charges, and payments.  The RCA is responsible for overseeing the timely and accurate follow-up of rejected, denied, underpaid, and delinquent insurance claims for all assigned RCM Clients.  The RCA will help prepare monthly reports and monthly collection lists for all assigned RCM Clients.  The RCA works to resolve claim issues and maximize client collections in an ethical and compliant manner as set forth in the InHealth Professional Services Compliance Plan.  As a key member of the service team, the RCA shares in the responsibility of the overall financial and operational performance of all assigned RCM Clients.  The RCA will work to improve the accounts receivable (A/R) of all assigned RCM Clients.

 

SPECIFIC DUTIES:

  • Act as a liaison between RCM Clients and RCM Staff
  • Assist with credentialing and enrollment issues as directed
  • Attend RCM Client meetings and perform site visits, when required
  • Prepare monthly status reports for all assigned RCM Clients
  • Review patient collection lists for all assigned RCM Clients
  • Direct the A/R and posting teams for each assigned RCM Client
  • Audit charges, payments, and demographics for each assigned RCM Client
  • Review and report on all rejected, denied, and incomplete claims to the RCM Operational Management Team
  • Review remittances from Web sites of payers who do not participate with Gateway EDI
  • File all secondary claims and any other claims that requires a paper filing in a timely manner
  • Work Credit Balance Reports and Suspense Accounts
  • Create, balance, and distribute deposit logs to RCM Clients according to their established schedule
  • Handle daily correspondence and requests for information from insurance companies and patients
  • Perform additional responsibilities as required or directed

 

EMPLOYEES SUPERVISED:  None

 

Note: This employee acts as a liaison with other team members to facilitate the efficient transfer of knowledge from clients to team members and from the team to the client.  This employee serves as a dispatcher for work tasks to other team members, but not as a direct supervisor of those team members.

 

JOB REPORTS TO:  Director of Revenue Cycle Management

 

QUALIFICATIONS AND EXPERIENCE:

  • High School diploma with some college – preferred
  • Experience billing for Pain Management is highly preferred
  • Minimum (2) years experience Posting Charges and Insurance Payments
  • Minimum (5) years experience working Medical Accounts Receivable – preferred
  • Knowledge of medical insurance, managed care plans, deductibles, co-pays and contractual adjustments
  • Excellent written and verbal communication skills
  • Extreme accuracy and attention to detail – required
  • Excellent editing and proofreading skills
  • Intermediate level of expertise in Microsoft Word
  • Intermediate to advanced level of expertise in Microsoft Excel
  • Excellent ability to multi-task 
InHealth Systems & Services
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