Position                       : Accounts Receivable/Billing Representative

Location                     : Stuart, FL

Duration                     : 12 Months Contract

Total Hours/week      :40.00

1st shift

 

 

Description:

Position Purpose:

·         To process medical billing claims, collect patient or provider payments, resolve questions and problems with a customer’s accounts, process patient refunds, appeals to include re-determinations and re-submissions of billing to patient payers for payment on medical supply orders

 

Primary Duties and Responsibilities:

·         Receive payment denials and to investigate the reason and rectify the situation with the payer or patient

·         Receive inbound and place outbound calls from and to customers, Medicare, Medicaid and Commercial insurance providers regarding patient accounts

·         Provide written correspondence to audit requests to include investigation and obtaining of appropriate documentation to be attached to response

·         Document status of billing and payment process in patient account for future follow-up

·         Keep current on payer requirements via research and coaching to ensure guidelines and procedures are being met for each payer

·         Answer and follow up on calls from patients with billing questions

·         Complete all end of month reports as requested, directed or assigned

·         Complete all internal system service ticket requests as assigned

·         Work miscellaneous projects and tasks on an as needed basis

 

Ancillary Duties and Responsibilities:

·         Maintain a positive work atmosphere that embodies Liberator’s philosophy- Professional excellence, teamwork and integrity.

·         Maintains a production level between 20-40 accounts per day ensuring quality of work is above average. Production rates are at the discretion of management and are subject to change with our without prior notification.

·         Maintains a better than average attendance score

·         Performs other duties and tasks as assigned

 

Reporting Relationship Responsibilities:

·         No supervisory responsibilities

·         Provides work direction only

·         Provides work direction plus has responsibility for hiring, promotions, transfers, performance management, discipline, and discharge.

 

Minimum Requirements Or Qualifications:

·         To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.

·         The requirements listed below are representative of the knowledge, skill, and/or ability required.

·         Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions)

 

Education/Experience:

·         High School Diploma or general education degree (GED); two to four years prior medical supply billing experience and/or 1-3 years prior experience as an AR Billing Representative I exceeding performance levels and expectations for that role.

 

Skills:

Language:

·         Ability to read, analyze, and interpret medical supply publications, technical procedures, and/or training tools.

·         Ability to write internal and external business correspondence.

·         Ability to effectively present information and respond to questions from management, team members, and/or customers.

Math:

·         Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, and percentages. Ability to apply intermediate math skills.

Reasoning:

·         Ability to solve practical problems and deal with a variety of variables.

·         Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.

·         Advanced analytical reasoning to include ability to forecast exponentials within work flow processes and reason against outside factors.

Computer:

·         Knowledge of Microsoft Office Applications, Access or other database software.

Telecommunications:

·         ability to utilize or knowledge of call center telecommunications software

Licensure or Certifications required:

·         No certifications required

 

Work Requirements:

·         Ability to work some evening shifts, weekends, and overtime as needed

 

Physical Demands:

·         The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

·         Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

·         While performing the duties of this job, the employee is frequently required to walk, sit; use hands to finger, handle, or feel and talk or hear.

·         The employee is occasionally required to stand.

·         The employee must occasionally lift and/or move up to 10 lbs.

 

Work Environment:

·         The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.

·         Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

·         While performing the duties of this position, the employee performs tasks in a temperature controlled office environment under normal office conditions.

·         The noise level in the work environment is usually moderate.

·         The work environment involves minimal exposure to hazards or physical risks, which require following basic safety precautions.

 

Disclaimer:

·         The above job description is meant to describe the general nature and level of work being performed; it is not intended to be an exhaustive list of all responsibilities, duties, and skills required for this position.

·         The Company officers, mid-level, and entry level management staff may assign additional duties and responsibilities as needed.

·         This job description in no way states or implies that these are the only duties to be performed by the employee occupying this position.

·         Employees will be required to follow any other job-related duties requested by their supervisor in compliance with Federal and State Laws.

 

Thanks & Regards !                                                                                

__________________________________________________________
Edwin George | Technical Recruiter | Millenniumsoft Inc.

8301 Arlington Blvd, Suite # 504, Fairfax, VA 22031
| 703 459 9282 X105 (Direct) | Fax : # 703-991-4551

edwin@millenniumsoft.com

www.millenniumsoft.com

An E -Verified Corporation

WBE Certified (State of Virginia)

 

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