Accounts Receivable Representative at Denver

Job Description

Position Summary:  The Accounts Receivable Representative’s responsibility is to resolve all issues related to accounts that have been filed and not paid.  The objective is get the account paid upon issue resolution and claim resubmission. 

 

Position Requirements:

Resolves claim denials/rejections.  This may involve a simple change to the account, checking Accurint, checking eligibility sources (Zirmed, Medicaid websites, etc.), sending documentation (PCRs, W9s, claim forms, NPIs, etc.) to the payer, etc.:

Works Zirmed rejections through Intermedix.  Any changes where claim is corrected in  Zirmed accounts should also be made to the Intermedix account.

Work XENA and CMS 1500 Filer edits from Intermedix

Works insurance correspondence.

Works Medicare denials.

Works Medicaid denials.

Processes appeals:

Identifies appeal needs or receives appeal requests from management.

Pulls together appeal documentation:

Retrieves and makes PCR copy .

Checks Accurint.

Checks eligibility sources.

Resolves aged filed not paid accounts:

Receives payer filed not paid reports from management.

Researches accounts.  This includes attempting to fix the account before calling the payers.

Corrects any issues with accounts.

Reports recurring payer issues to regional management.

Processes probate accounts:

Receives account probate notification.

Researches probate information with client clerk of court or website.

Updates account information.

Processes going to collection accounts:

Receives monthly precollections report.

Reviews and attempts to get the account filed/paid.

Complete various projects as assigned by management.

Assist with other team member processing areas as directed by management.

Communicate trends and opportunities for improvement to regional management.

Meet routine deadlines and work schedules as well as timely and accurate completion of special projects and any other duties as assigned.

Understand, support, enforce and comply with company policies, procedures and Standards of Business Ethics and Conduct.

Display a positive attitude as well as professional, polite, considerate and courteous conduct and treatment of others in the course of duties.

Physical Requirements:

The ability to sit for 8 hours with occasional breaks.  The ability to type and work with high levels of accuracy and speed for 8 hours with occasional breaks.  Good manual dexterity, strength and health of hands, fingers and wrists.  Adequate eyesight in order to read correspondence and computer monitors. Occasional evening and weekend work to meet deadlines.

 

Environmental Conditions:

Typical conditions of office environment.  At month-end deadline, stress levels may exceed normal levels.

Job Requirements

Qualifications:

High School Diploma or equivalent

Knowledge of insurance carrier payment policies, practices, and amounts.

Able to type a minimum of 40 words per minute.

Able to use a 10 key by touch.

Basic computer operating skills.

Logical and efficient, with keen attention to detail.

Highly self-motivated and directed.

Ability to effectively prioritize and execute tasks while under pressure.

Excellent listening, interpersonal, written, and oral communication skills.

Knowledge of insurance carrier policies and practices.

Experience working in a team-oriented, collaborative environment.

Knowledge of applicable data privacy practices and laws.

Knowledge of ADPI’s imaging solution.

Country: USA, State: Colorado, City: Denver, Company: Intermedix.