Accounts Receivable Representative-Medical Billing

Position Overview

The Accounts Receivable Representative works directly with insurance companies, healthcare providers, and possibly patients to process and secure payment of claims. This role requires reviewing and appealing unpaid or denied claims using systems such as Advanced MD, Clinix, and MOD MED/EMA PM.

Key Responsibilities

• Review, revise, and re-process every outstanding claim on the aging report.
• Achieve a monthly quota of 1,000 claims.
• Ensure all reports are completed by month’s end and all correspondence is addressed daily.
• Interface with providers, insurance companies, and patients as needed.
• Apply knowledge of Medicare, managed care, and commercial insurances.
• Maintain assigned AR over 90-day percentages as defined by the AR Supervisor.
• Track and identify major trends with various insurance carriers.
• Report recurrent problems to the A/R Supervisor.
• Collaborate with doctor’s office staff to obtain necessary information for processing or appealing claims.
• Document account ledgers including calls made, faxes completed, corrected claims sent, and accounts turned to patient responsibility.
• Reduce claims in the over 90-day categories.

Required Qualifications

• Experience Required: Medical Accounts Receivable with at least 2 years’ experience; knowledge of CPT and ICD-10 coding; Medical Billing experience of 2 years (Preferred).
• Education: High school or equivalent (Preferred).
• Qualifications: Able to act independently in a productivity-based environment; strong interpersonal and communication skills; focused attention to detail; and the ability to prioritize workload.

Benefits & Perks

• Benefits: DBA pays for 80% of an employee’s medical benefits; Dental, Vision, and Short-term Disability available at group rates; Long Term Disability and Life Insurance are provided by DBA.
• Paid Time Off: 8 paid holidays after a 90-day probationary period; vacation available after 6 months (1 week in the first year, 2 weeks in the second year, increasing up to 4 weeks over time); earn 2 hours of PTO for each pay period with access after 90 days (up to 48 hours annually).
• 401k plan: Eligible after one year of service with DBA providing a 25% match on 401k contributions up to 6% of salary; employee becomes vested at 20% per year.
• Schedule: Initial training follows the trainer’s schedule; post-training hours range between 7:00 and 5:30 with paid 2-15 minute breaks and a 30-minute lunch break.
• Uniform / Perks: Company provides 2 sets of scrubs after 90 days and a company t-shirt for Thursdays and Fridays; enjoy monthly bagels, quarterly team luncheons, birthday and holiday celebrations, and a special cruise for ten-year anniversaries.
• Job Type: Full-time; Expected hours: 40 per week.
• Location: In person.