Position Summary: The Accounts Receivable Representative is responsible for processing insurance-related charges and payments for patients, assisting in the maintenance of accounts receivable and assist patients with account-related questions.

Principle Duties and Responsibilities:

Enter insurance information into computer and posts charges
Submit appropriate claims electronically
Research and resolve unprocessed, assigned claims
Post insurance and patient payments to accounts electronically
Transfer balances to secondary payer or patient pay status as appropriate
Respond to mail inquiries regarding insurance accounts
Retrieve information from the electronic medical record system; retrieve patient coding information
Run balancing reports and verify totals with actual charges and receipts
Prepare daily bank deposits
Assist with accounts receivable cycles
Assist patients with billing questions, problems and concerns
Contact patients regarding accounts receivables; assists patients by addressing insurance concerns
Develop and maintain positive working relationships with other employees
Other duties as assigned.

Work Relationship and Scope: The Accounts Receivable Representative reports directly to the Business Services Manager.

Knowledge, Skills, and Abilities:

High School diploma or equivalent
1-2 years customer service experience
1-2 years experience with insurance or claims processing
Demonstrates knowledge of proper, safe, efficient usage of office equipment, computers, and software; working knowledge of Microsoft Office
Ability to work in a fast-paced medical facility while adhering to HIPAA compliance regulations

Work Conditions: Work is generally performed at the main clinic; 800 N. First Street, Wausau, WI. Hours of work will be dependent on the needs of the Clinic. Requires the ability to sit or stand for extended periods of time. Occasional lifting (30 pounds), bending, stooping, pushing, pulling, and climbing stairs is required.

Acknowledgement: This job description describes the general nature and level of work performed by the employee assigned to this position. It does not state or imply that these are the only duties and responsibilities assigned to the job. The employee may be required to perform other job duties as requested by the Administrator or Board President. All requirements are subject to change over time. Reasonable accommodations will be made to those individuals with a disability.

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Accounts Receivable Representative