Accounts Receivable Billing Representative (Synergy)
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Job Location:
Raleigh, WV - USA
Monthly Salary:
Not Disclosed
Posted on:
30+ days ago
Vacancies:
1 Vacancy
Job Summary
General Summary: A full-time position responsible for continually processing claims that need to be resubmitted for payment until the claim gets paid. The goal of the Accounts Receivable Follow-Up Team is to maximize patient satisfaction and profitability by providing strong customer service to ensure that payments are received. At least 2 years of Professional Billing experience within the healthcare industry is required for this role.
Essential Job Responsibilities:
The Accounts Receivable Billing Specialist is responsible for:
- Work aged receivables utilizing A/R reports assigned by manager
- Review and assess adjudicated claims for timely and proper payment of outstanding balances
- Research correct and resubmit or reprocess unpaid claims as necessary
- Verify validity of account balance by researching reviewing and ensuring accuracy of payment and adjustment posting
- Identify liability and guarantor hierarchy and transfer balances timely and appropriately
- Review and interpret Explanation of Benefits (EOB) for denials and underpayment of codes
- Research and resolve denials and underpayments with insurance carriers
- Verify all identified insurance carriers for eligibility and confirm carrier policy for referral and authorization requirements as needed for claims adjudication
- Submit carrier appeals and reconsideration requests in a timely manner
- Meet productivity goals/benchmarks as set and communicated by Team Lead
- Maintain confidentiality of patient information
- Work collaboratively with other Coding Billing Patient Success and Payment Posting Specialists as needed
Education:
- High school diploma or GED
- Bachelors degree preferred
Experience:
- Minimum of 3 years billing experience in the healthcare industry
- Prior medical billing experience
- Knowledge of ICD-10 CPT HCPCS coding and medical terminology required
- Problem-solver/ Critical thinking skills/ Self-motivated
- Ability to organize prioritize and manage various work assignments in a timely fashion
- Word and Excel experience preferred
- Ability to remain professional and courteous with providers and insurance carries always
- Experience with Availity and/or Telcor is preferred
Quality Standards:
- Team player who will lead by example and promote a positive work culture when partnering with internal/external business partners.
- Demonstrates initiative personal awareness professionalism and integrity and exercises confidentiality in all areas of performance.
- Follows all local state and federal laws concerning employment including but not limited to I-9 Harassment EEOC Civil rights and ADA.
- Follows OSHA regulations and site protocols policies and procedures.
- Follows HIPAA compliance privacy safety and confidentiality standards at all times.
- Practices universal safety precautions.
- Promotes good public relations on the phone and in person.
- Adapts and is willing to learn new tasks methods and systems.
- Reports to work regularly as scheduled; consistently punctual with respect to working hours meal and rest breaks and maintains satisfactory personal attendance in accordance with guidelines.
- Consistently adheres to time management policies and procedures.
- Completes job responsibilities in a quality and timely manner.
Required Experience:
Unclear Seniority
Key Skills
- Journal Entry
- Customer Service
- Collection effort
- A/R Management
- Past due Account
- General Ledger Accounting
- Accounting
- Excel
- Payroll
- Financial statement
- Collection procedures
- Customer Account
- Delinquents Account
- Direct Reports
- Timely collections
About Company
Mako Medical is a health care diagnostic laboratory specializing in helping you take control of your healthcare by offering accurate testing and quick results.
