Accounts Receivable Representative

Ellis Medicine; City of Schenectady (NY); On-site; USD 22,000 - 33,000; Full time

Job summary

Ellis Medicine in New York seeks an Accounts Receivable Representative to ensure accurate and timely posting of charges, payments and adjustments for inpatient and outpatient accounts. You will review and resolve outstanding AR with insurers and patients, maintaining detailed records and responding to inquiries.

The role requires a high school diploma (associate degree preferred), 2 years AR experience in healthcare, and familiarity with CPT/HCPCS/ ICD-9 codes.

Qualifications

• High School Diploma or equivalent required; Associate’s degree preferred.
• 2 years of accounts receivable experience in a hospital or healthcare setting preferred.
• Knowledge of medical records, CPT, HCPCS and ICD-9 coding preferred.
• Windows-based software required, including Microsoft Windows, Excel and Word preferred.
• Ability to learn/ retain and act on medical billing processes and guidelines; strong communication and customer relations skills required.

Responsibilities

• Maintain patient account records assigned, including accurate billing to patients and insurance companies, follow-up on payments, and denial responses.
• Maintain accurate patient accounting records with a written description of steps taken to resolve accounts and accurate postings.
• Research and respond to patient inquiries in a timely manner.
• Escalate account resolution issues via insurer portals, customer service lines, or provider representatives as needed.
• Follow up/denial level processes for each payer being worked on.
• Escalate problematic accounts to leadership per workflow.

Skills

Communication skills

Attention to detail

Customer service

Medical billing knowledge

Education

High School Diploma or equivalent

Associate's degree preferred

Tools

Microsoft Excel

Microsoft Word

Job description

The Accounts Receivable Representative will be responsible for achieving accurate and timely accounting of all Inpatient and Outpatient accounts receivable as set by policies and procedures. Responsible for reviewing and posting charges, payments and adjustments to the patient accounting system on a daily basis, and ensuring outgoing data is accurate. Review and resolve outstanding accounts receivable with insurance companies and patients.

RESPONSIBILITIES OF THE POSITION:

• Maintain patient account records assigned, including, but not limited to, accurate and compliant billing to patients and insurance companies, insurance and patient payment follow-up and insurance denial response.
• Maintain accurate patient accounting records, including a written description of steps taken to resolve accounts and accurate financial postings.
• Appropriately research and respond to patient inquiries in a timely manner.
• Escalate account resolution issues via the insurance company portal, customer service phone line or insurance company provider representative.
• Know the follow-up/ denial level process for each payer being worked on.
• Escalate problematic accounts to the leadership team as per workflow process.
• Follow Ellis policy regarding computer/ software usage
• Adhere to patient privacy policies and procedures, maintain confidentiality.
• Adhere to all Ellis policies and procedures
• Adhere to all billing regulatory guidelines
• Additional duties as assigned.

EDUCATION AND EXPERIENCE REQUIREMENTS:

• Education: High School Diploma or Equivalent required. Associate’s degree preferred.
• Experience: 2 years of accounts receivable experience in a hospital or healthcare setting preferred.
• Knowledge of medical records, medical terminology and billing requirements, CPT, HCPCS and ICD-9 coding preferred.
• Windows-based software required, including but not limited to Microsoft Windows, Excel and Word preferred.
• Ability to learn/ retain and act on medical billing processes and guidelines. Communication (verbal, written and phone), interpersonal and positive customer relations skills are required.
• Certification: n/a

PHYSICAL REQUIREMENTS:

• Should be able to push/pull, lift/move 15 lb., be able to perform moderately difficult manual manipulations such as using a keyboard, writing, and filing for extended periods of time, must be able to perform tasks which require hand-eye coordination such as data entry, typing and using photo copiers. Mobility requirements may include the ability to be stationary at a workstation for a prolonged period of time in addition to being able to squat or be mobile for a reasonable length of time and distance. Communication requirements include the ability to comprehend the spoken English language in addition to being able to communicate and read the English language.

Ellis Medicine is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to, and will prohibit, discrimination on the basis of race, creed, color, religion, sex/gender (including pregnancy), age, national origin, disability (including pregnancy-related conditions), genetic information, predisposition or carrier status, military or veteran status, prior arrest or conviction record, marital or familial status, sexual orientation, transgender status, gender identity, gender expression, reproductive health decisions, domestic violence victim status, known relationship or association with any member of a protected class, and any other characteristic protected by applicable law violates federal, state and, where applicable, local laws , reproductive health decisions or source of payment, consistent with applicable legislation and to comply with the laws pertaining thereto.

Salary Range: $16.24-$24-24.11/hour Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location.