Accounts Receivable Rep - IMG MSO jobs in United States
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Inspira Health · 10 hours ago

Accounts Receivable Rep - IMG MSO

Inspira Health is a healthcare organization dedicated to providing quality care, and they are seeking an Accounts Receivable Rep to manage billing processes. The role involves investigating payment denials, resolving claims issues, and ensuring accurate billing within required timeframes.

Elder CareHealth CareHospitalNursing and Residential CarePersonal Health

Responsibilities

Investigates and takes the appropriate steps to address and resolve payment denials and incorrectly paid accounts
On a daily basis, reviews the denial que and researches and resolves these claims issues contacting the pertinent parties by telephone or insurance website
Reviews the que on a daily basis to capture "no response" claims and to follow-up or reexamine claims "with response" at least every 30 days until the account is resolved appropriately
Identifies practice and/or payer-specific trends that cause an increase in the A/R aging and works with leadership to resolve
Reviews Revenue Manager for claim rejections (or claim edits) – electronic claims that are flagged for incorrect or invalid information on the original electronic claim. Determines reason for rejection and identifies claim form locators causing the errors. Corrects information submitted internally causing the rejection and resubmits claim. Escalates issues to supervisor that require further investigation
Updates Cerner Millenium with notes to reflect account status and collection activity
Provides timely communication to leadership with regards to payer issues and updates

Qualification

Medical billing experienceAHIMA Certified CoderAAPC Certified CoderWindows-based softwareCommunication skills

Required

High School diploma or equivalent required
1-2 years medical physician billing or collections required
Knowledge of Windows-based software applications (Word, Excel, etc.)

Preferred

AHIMA Certified Coder, AAPC Certified Coder, or coding experience a plus

Company

Inspira Health

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Inspira Health is health care organization for patients of all ages.

Funding

Current Stage
Late Stage
Total Funding
$5.87M
Key Investors
State of New JerseyU.S. Department of AgricultureNew Jersey State Department of Health
2025-10-29Grant· $1M
2024-06-24Grant· $1M
2024-04-01Grant· $3M

Leadership Team

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Amy Mansue
Chief Executive Officer
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Julie H. Ellis
Senior Vice President, Human Resources
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Company data provided by crunchbase