Accounts Receivable Representative

OrthoCarolina; United States; Hybrid; USD 42,000 - 60,000; Full time

Job summary

OrthoCarolina is seeking an Accounts Receivable (AR) Representative to join our Revenue Cycle team in Charlotte. You will review aging medical insurance balances, resolve claim issues with insurers and patients, and maintain AR queues on management-defined aging targets in a hybrid office setting.

The role requires strong verbal and written communication, experience in healthcare billing, and knowledge of ICD-10; CPC certification is preferred.

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.
• One year of healthcare experience.
• Working knowledge of ICD-10 required.

Responsibilities

• Maintaining AR queues at a reasonable age-base date per management.
• Reviewing and appealing denied medical claims for bundling and coding issues.
• Timely follow-up on all appeal submissions.
• Processing corrected claims and assisting with timely turnaround for medical documentation requests.
• Providing follow-up and feedback to management regarding assignments.

Skills

Billing

Claims Processing

Insurance Claims

ICD Coding

Reimbursement

Organizing

Education

High School Diploma or GED

Certificate from college or technical school

Certified Professional Coder (CPC)

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-us

We are currently searching for anAccounts 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 ofAccounts 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 Billing, Claims Administration, Claims Processing, Health Insurance, ICD Coding, Insurance Claims Processing, Organizing, Reimbursement Education High School Certifications Language Work Experience Healthcare Experience

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