Job Summary
The Accounts Receivable Representative I works as a part of the team which is responsible for accurately capturing charges, posting payments, and timely collection of monies owed to the organization.
Essential Functions - Duties & Responsibilities
- Contact insurance carrier/patient to seek resolution on account.
- Determine patients ability to pay and seeks additional assistance either through optional payment plans or uncompensated care.
- Transfers outstanding balances to secondary insurance or patient according to departmental policies and procedures.
- Responsible for accurate input of data into revenue cycle system with reconciliation to batched totals.
- Responsible for timely resolution of registration and insurance claim edits to minimize claim denials.
- Responsible for the tracking and resolution of daily claim edits, rejections and reporting fluctuation and trends to supervisor.
- Assist Accounts Receivable Representatives II/III with ongoing projects and departmental day-to-day activities, as needed.
- Process daily lockbox deposit receipts.
- Seek to gain needed knowledge and experience to promote to Accounts Receivable Representative II position.
- Exhibit competency in the utilization of computers, telephones, calculators, fax machines and insurance verification devices-level of competency 80%.
- Responsible for insurance verifications and/or obtaining pre-authorizations through insurance companies
- Occasionally contact patients to confirm certain aspects of their insurance benefits.
- Participate in departmental meetings as necessary.
- Maintain files and logs as needed.
- Maintains reasonably regular, punctual attendance consistent with Laser Spine Institute policies
- Maintains compliance with all Laser Spine Institute policies and procedures.
- Medical Accounts receivable
- Insurance denials and insurance appeals
- Execute all duties in accordance with our CHOICE values.
CARE
- Treat others with unconditional respect, dignity and equality
- Acknowledge a need or concern by pausing from your task
- Customize your approach when meeting with customers (i.e. sitting down at bedside when communicating with a patient)
- Always go that extra mile
- Anticipate the needs of others by providing support and assistance before being asked
HAVE FUN
- Maintain a positive attitude
- Celebrate the success of your teammates
- Participate in teambuilding events
- Look for ways to make co-workers smile
- Encourage your teammates to meet their goals
ONE TEAM
- Attend and actively participate in staff meetings
- Share information with coworkers to achieve team success
- Cooperate and build collaborative relationships with one another
- Encourage coworkers to develop their own skills and abilities
INTEGRITY
- Behave ethically by demonstrating honesty, maintaining high standards and by always doing the right thing even when nobody is looking
- Take ownership of mistakes without placing blame - apologize quickly
- Demonstrate reliability and responsibility
- Maintain confidentiality
- Meet deadlines and follow through on all commitments
COMMITMENT
- Follow established patient, employee and environment of care safety policies and procedures
- Constantly work to improve job-related knowledge
- Promptly report and/or correct unsafe acts or conditions in the workplace
- Provide education to department staff when applicable and necessary
EXCELLENCE
- Consistently look for opportunities to exceed our customer's expectations by personalizing your approach
- Be on time.
- Acknowledge a customer's presence immediately by making eye contact, smiling and introducing yourself
- Search for opportunities to improve processes
- Submit innovative ideas to improve the way we do business
- Actively pursue development goals and career objectives
Qualifications & Requirements
Knowledge, Skills, Abilities:
- Exceptional communication and organizational skills
- Ability to manage multiple projects in a fast-paced, deadline-driven environment
- Proven ability to build consensus and work effectively within a cross-departmental team
- Excellent oral and written communication, and listening skills.
- Proven analytical and creative problem-solving abilities.
- Ability to effectively prioritize and execute tasks under pressure.
- Strong customer service orientation.
- Experience working collaboratively in a team-oriented environment.
- Knowledge of Microsoft Office Excel and Word required.
- Ability to type 30 wpm.
Required Qualifications:
Education:
- High School graduate or GED required.
- Must complete staff development within the (6) months of hire date.
Experience:
- Six (6) months experience in related field (medical billing/collections/managed care) required.