Medical Account Receivable Representative

Why You Should Work For Us:

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

• Telephone insurance carrier/patient to seek resolution on account
• Resolve inappropriate payments with insurance carriers that are not in compliance with payer contracts or governmental agency rates on individual accounts
• Utilize specialized knowledge of contracts, regulatory or contractual billings guidelines to determine an account’s ability to pay after initial rejection from payer
• Coordinate duplicate billings, coordination of benefits, medical records or clinical documents as needed to expedite payment of insurance claims
• Identify trends in payer non-compliance and inform management if not able to resolve with payer
• Negotiate within specified guidelines with payers
• Ensure secondary carrier is appropriately billed or self-pay portion is pursued
• Determine an individual’s ability to pay and seeks additional assistance either through governmental programs or uncompensated care programs
• Follows up with appropriate staff to locate missing information
• Ensure accurate and timely billing of all outstanding account balances to the appropriate third party payers and patient guarantors
• Maintain necessary logs
• Answer telephone calls as needed
• Assist with the planning and organization of departmental activities as needed and participate in said activities
• Participate in departmental meetings as necessary.
• Requirements:

• 1 year of Medical AR work
• Thorough knowledge of multi-specialty ICD-9 and CPT coding
• Billing and collections (both major insurance and self pay) experience
• EMR Knowledge
• Medicare Knowledge

• Hours for this position:

• Monday-Friday 8a-430p or 730a-4p; flexible! 
• This is an immediate temp to perm position!
• Advantages of this opportunity:

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• Competitive Salary $12-13.25 per hour 
• Fun and positive work environment