Accounts Receivable Representative

Talentify; Charlotte (NC); Hybrid; USD 40,000 - 52,000; Full time

Benefits offered by this job

Paid holidays

Wellness programs

Tuition reimbursement

Job summary

OrthoCarolina is seeking an Accounts Receivable (Medical Billing) Representative to join the Revenue Cycle team in Charlotte. This hybrid role involves reviewing aging insurance balances, resolving claim issues, and handling denials and appeals with prompt follow-up.

Responsibilities include maintaining AR queues, appealing denials, processing corrected claims, and assisting with documentation requests, while providing feedback to management on assignments.

Qualifications

• High school graduate 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.
• One year of experience in a health care organization.

Responsibilities

• Maintain AR queues with aging as defined by management.
• Review and appeal denied medical claims for bundling/coding issues.
• Follow up on all appeal submissions in a timely manner.
• Process corrected claims and assist with documentation requests.
• Provide feedback to management on assignments.

Skills

ICD-10 knowledge

Medical billing

Education

High school diploma or GED

One-year certificate from college or technical school

Certified Professional Coder (CPC) preferred

Three years AR experience

One year healthcare experience

Job description

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-us

We 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, preferred
• One year of experience in a health care organization.
• Working knowledge of ICD 10 required.
• Certified Professional Coder (CPC) preferred.

Employee Type

Regular

Qualifications

Skills

Education

High School (Required)

Certifications

Language

Work Experience

Administrative Experience, Financial, Healthcare Experience