Accounts Receivable Representative

OrthoCarolina; Town of Charlotte (NY); Hybrid; USD 45,000 - 65,000; Full time

Job summary

OrthoCarolina is seeking an Accounts Receivable (Medical Billing) Representative to join the Revenue Cycle team in Charlotte. The position offers a hybrid schedule with rotating days in the office based on department needs.

You will review aging medical insurance balances, resolve claim issues with insurers or patients, and support timely follow-up on appeals and corrected claims.

Qualifications

• High school graduate; one-year certificate from college or technical school preferred.
• Certified Professional Coder (CPC) preferred.
• Three years of accounts receivable experience, healthcare setting preferred.
• Working knowledge of ICD-10 is required.

Responsibilities

• Maintain AR queues at a reasonable age-based on management guidance.
• Review and appeal denied medical claims for bundling and coding issues.
• Timely follow-up on all appeal submissions.
• Process corrected claims and assist with timely turnaround for medical documentation requests.
• Provide feedback to management regarding assignments.

Skills

Accounts receivable

Medical billing

ICD-10 knowledge

Education

High School Diploma or GED

College/Technical certificate

CPC Certification (preferred)

Job description

AtOrthoCarolina, 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.OrthoCarolinahas 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 anAccounts Receivable Representative (Medical Billing)tojoinourRevenue Cycleteamin theOrthoCarolinaBusiness Office in Charlotte.

This position is a hybrid schedule with rotating days in the office depending on department needs.

The role ofAccounts Receivable (AR) Representativewith our team, you willbe responsible forreviewing aging medical insurance account balances and resolving claim issues with insurance and/or patient.

Essential Functions:

• Maintaining AR queues at a reasonable age-basedate 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 fortimelyfollow-up on all appeal submissions.
• A/R Representatives will also be involved inprocessing ofcorrected claims andassistingwithtimelyturnaround for medical documentation requests.
• Providing follow-up and feedback to managementregardingassignments.

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 10required.

Certified Professional Coder (CPC) preferred.

Employee Type

Regular

Education

High School (Required)

Work Experience

Administrative Experience, Financial, Healthcare Experience