Acentus Practice Management · 1 day ago
Accounts Receivable Representative
Acentus Practice Management is currently seeking a Professional Medical Biller/AR Representative to join their team. The role involves ensuring claim payment issues are resolved timely and efficiently, monitoring unpaid claims, and providing professional responses to inquiries.
Responsibilities
Follow up on submitted claims for payment
Meet productivity standards and minimum requirement of at least 50-60 accounts per day
Monitor unpaid claims and resubmit claims with appropriate corrections and/or documentation
Work denied claims and resubmit replacement claim for payment
Report denial trends to management
Provide timely, accurate, and professional responses to internal, patient, and third party inquiries
Research and resolve simple to complex issues and escalate issues to management
Research no response claims and report root cause to management
Work with billing managers to resolve and prevent coding denials
Maintain and submit a detailed issues log to his/her manager to identify practice and/or payer trends
Report needed system updates to manager
Research payer policies and insurance eligibility changes and communicate changes to key personnel
Work special payor projects as assigned
Qualification
Required
HS diploma/GED required
Minimum of 4 years' of experience in professional medical billing or similar role
Ability to troubleshoot and problem solve in a healthcare setting
Knowledge of CPT and ICD-10 coding
Proficient understanding of HIPAA compliance practices
Proficient knowledge and a working understanding of Microsoft Excel and Word
Knowledge of and experience using payer tools (e.g. Navinet, etc.)
Excellent research abilities, attention to detail, and communication skills
Outstanding problem-solving and organizational abilities
Self-motivation, including multitasking and time management
Positive attitude and team player
Preferred
Bachelor's degree preferred
Prior experience utilizing billing systems and electronic medical records (EPIC preferred)
Company
Acentus Practice Management
Acentus Practice Management is a revenue cycle management company that provides coding, reconciliation, analytics, and reporting services.
Funding
Current Stage
Growth StageCompany data provided by crunchbase