Accounts Receivable Representative

OrthoCarolina; Charlotte (NC); Hybrid; USD 38,000 - 60,000; Full time

Benefits offered by this job

Paid holidays

Wellness programs

Tuition reimbursement

Job summary

OrthoCarolina is hiring an Accounts Receivable Representative to join the Revenue Cycle team in Charlotte. The role focuses on aging insurance balances, resolving claim issues, and advising on denials and coding concerns.

The position is hybrid with rotating in-office days. Qualifications include AR experience, ICD-10 knowledge, and CPC preferred; a healthcare background is highly valued.

Qualifications

• High school diploma or GED is required.
• One-year certificate from college or technical school preferred.
• Certified Professional Coder (CPC) preferred.
• Three years of accounts receivable experience preferred, healthcare setting ideal.
• Experience in ICD-10 and healthcare billing workflows.

Responsibilities

• Review aging medical insurance account balances and resolve claim issues.
• Maintain AR queues at an age-based target as defined by management.
• Review and appeal denied claims for bundling and coding issues.
• Follow up on all appeal submissions in a timely manner.
• Process corrected claims and respond to documentation requests promptly.
• Provide feedback to management on assignments and performance.

Skills

Billing

Claims Processing

Health Insurance

ICD Coding

Insurance Claims Processing

Organizing

Reimbursement

Education

High School Diploma or GED

Certificate from College/Technical School

Certified Professional Coder (CPC) preferred

Job description

The Accounts Receivable (AR) Representative will be responsible for reviewing aging insurance account balances and resolving claim issues with insurance and/or patient. Responsible for maintaining AR queues at a reasonable age-base date as defined by management. AR Representatives may also be asked to review and appeal denied office-based claims for bundling and coding-related issues. Provides follow-up and feedback to management regarding assignments. Responsible for timely follow-up on all appeal submissions. AR Representatives will also be involved in processing of corrected claims and assisting with timely turnaround for medical documentation requests. The AR Representative must possess excellent verbal and written communication skills. Professional verbal and written communication etiquette is essential due to the continuous interaction with insurance companies, patients, and physicians on a regular basis.At OrthoCarolina, our team is our greatest asset and the foundation of our success. We are a diverse group of individuals, accountable to each other to uphold the standards of excellence and promote an environment of teamwork throughout the organization. OrthoCarolina has 43 unique care locations with over 1300 professionals who share a common goal to make lives better. Our employees are eligible for a full spectrum of benefits including paid company holidays, wellness programs, and tuition reimbursement. To learn more about Team OC please visit https://www.orthocarolina.com/about-usWe are currently searching for an Accounts Receivable Representative (Medical Billing) to join our Revenue Cycle team in the OrthoCarolina Business Office in Charlotte.This position is a hybrid schedule with rotating days in the office depending on department needs.The role of Accounts Receivable (AR) Representative with our team, you will be responsible for reviewing aging medical insurance account balances and resolving claim issues with insurance and/or patient.Essential Functions:Maintaining AR queues at a reasonable age-base date as defined by management.A/R Representatives are also responsible for reviewing and appealing denied medical claims for bundling and medical coding-related issues.Responsible for timely follow-up on all appeal submissions.A/R Representatives will also be involved in processing of corrected claims and assisting with timely turnaround for medical documentation requests.Providing follow-up and feedback to management regarding assignments.Skills and Abilities:Qualifications:High school graduate or GED.One-year certificate from college or technical school preferred.Certified Professional Coder (CPC) preferred.Or Experience plus certification:Three years of accounts receivable experience, preferredOne year of experience in a health care organization.Working knowledge of ICD 10 required.Certified Professional Coder (CPC) preferred.Employee TypeRegularQualificationsSkillsBilling, Claims Administration, Claims Processing, Health Insurance, ICD Coding, Insurance Claims Processing, Organizing, ReimbursementEducationHigh SchoolCertificationsLanguageWork ExperienceHealthcare Experience