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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