MedSrv · 2 weeks ago
CBO AR Representative
MedSrv is a company dedicated to improving Revenue Cycle Management in the healthcare industry. They are seeking an Accounts Receivable Insurance Representative to review and process insurance claims, resolve discrepancies, and ensure timely payments while maintaining high standards of accuracy and communication with clients.
AccountingBillingFinancial ServicesHealth Care
Responsibilities
Claim Follow-Up: Investigate and resolve unpaid claims through payer websites or automated systems. Correct, reprocess, or appeal claims with clear documentation
Accounts Receivable (A/R): Work assigned reports on time and notify your supervisor if deadlines can’t be met
Productivity: Process at least 50 claims daily for Follow-Up/Denial roles or 30 claims daily for Medical Records roles, while maintaining accuracy and compliance
Coding Escalations: Flag claims that need coding corrections and send them to the coding team with detailed notes
Communication: Share timely updates with supervisors on claim status, payer responses, and account progress
Client Knowledge: Understand client specialties, locations, and A/R procedures to ensure accurate claim handling
Denial Trends: Track and report denial or payment reduction trends to management, including payer and dollar impact
Performance: Meet performance goals within 90 days of hire
Accuracy: Stay focused and detail-oriented to ensure high-quality claim resolution
Qualification
Required
Excellent communication skills including active listening
Service-oriented and able to resolve customer grievances
Proficient computer skills with the ability to learn new software
Able to work at a computer for extended periods
Occasionally lift up to 15 lbs
Benefits
Competitive benefits
Paid time off
401k with match