[Hiring] Accounts Receivable Representative @OneOncology

Role Description

The Accounts Receivable Representative is responsible for the timely and accurate processing of health insurance claims with various insurance companies. This role reports to the A/R Manager.

• Keep current on carrier(s) website information that relates to the practice.
• Process insurance carrier correspondence in a timely and professional manner.
• Compose and prepare documentation for appeals.
• Use resources effectively, arrange information and files in a useful manner, and meet project deadlines.
• Prepare special claim projects; maintain project work/communication logs.
• Identify non-payment trends or procedural roadblocks and report to Supervisor as needed.
• Maintain a solid balance of health insurance claims that are 35 average days outstanding.
• Research authorizations, work with providers, and manage pended claims promptly.
• Additional responsibilities as assigned to help drive our mission of improving the lives of everyone living with cancer.

Qualifications

• Minimum High School Diploma or GED required.
• Minimum of five (5) years of Medical Billing and insurance claim filing experience.
• Ambulatory Surgical/Procedures/Urology experience preferred.
• Familiarity with medical billing software.

Requirements

• Ability to type a minimum of 40 words per minute.
• Attention to detail, willingness to learn, and bring forth ideas.
• Ability to multi-task, effectively problem-solve, and work in a fast-paced environment.
• Proficient computer software and database skills, especially with Word and Excel.
• Strong written and verbal communication skills.
• Accurate and efficient data entry skills.
• Proven organizational skills and ability to prioritize effectively.
• Demonstrated ability to work independently and as an effective healthcare team member.
• Current knowledge of acceptable and appropriate clinical practice, quality assurance, and patient management and care.
• Proficient knowledge of Medical Terminology: ICD and CPT codes.
• Attendance is an essential job function.