Accounts Receivable Representative - Urbana, United States - Carle Health

Carle Health

Verified Company

Urbana, United States

3 weeks ago

Posted by:

Mark Lane

beBee recruiter

Description

Department:
Patient Financial Services

Entity: Champaign-Urbana Service Area
Job Category: Clerical/Admin

Employment Type: Full

Time
Job ID: 42170

Experience Required: - 3 Years

Education Required: HS Diploma/GED
Shift: Day
Location: Urbana, IL

Usual Schedule: 8-5

On Call Requirements: None
Work Location: Carle at The Fields
Weekend Requirements: None
Other Posting Information: AR Rep 1 will have to be employed and working in office a minimum of 6 months before being eligible to work from home.
Holiday Requirements: None

Position Summary:

The Accounts Receivable Representative 1 manages the accounts receivable in accordance with compliance, regulatory and billing guidelines and specific payer rules.

Responsible for collection of outstanding receivables.

Responsible for the accurate billing of insurance claims by validating coverage, resolving charge review edits, claim edits and front end clearinghouse and payer rejections.

In addition, follows up on outstanding receivables, completes basic appeals, answers, documents and completes inquiries from patients, insurance companies, attorneys, public agencies, internal departments and 3rd party payers.

Qualifications:

EDUCATIONAL REQUIREMENTS
None Required

CERTIFICATION & LICENSURE REQUIREMENTS
None specified

EXPERIENCE REQUIREMENTS

SKILLS AND KNOWLEDGE

Strong written and oral communication skills; displays a high standard of confidentiality; ability to deal with a large volume of work and the ability to multitask.

Maintains a comprehensive working knowledge of assigned payer billing policies and guidelines.

Works proficiently within multiple revenue cycle billing systems; attention to detail; ability to prioritize and complete tasks under demanding conditions; ability to easily accept and implement change.

Must demonstrate tact and diplomacy in all interpersonal interactions.

Essential Functions:

Identifies and resolves billing and insurance set up errors to facilitate accurate and timely billing.
Resolves charge review edits, claim edits and clearinghouse and payer rejections to facilitate accurate billing.
Submits claims for assigned payers, including corrected and voided claims.
Works patient, account, and followup work queues to perform collection activities on outstanding receivables; contacts patients, payers, attorneys or employers via phone, website/web portal or mail.
Reviews and resolves incoming correspondence.
Resolves underpayments, no payments, overpayments and undistributed payments for proper allocation.
Identifies, prepares and requests adjustments.
Responds to inquiries from patients, insurance companies, public agencies, internal departments and 3rd party payers.
Prepares, completes and follows up on designated payer reports and forms.
Performs other duties as assigned.

Effective September 20, 2021, the COVID 19 vaccine is required for all new Carle Health team members. Requests for medical or religious exemption will be permitted.