Accounts Receivable Representative - Contract

NCG Medical Systems, Inc.; Orlando (FL); On-site; USD 52,000 - 64,000; Full time

Job summary

NCG Medical is a thriving Revenue Cycle Management firm near Orlando, FL. We are growing and adding client accounts, seeking an experienced insurance claims professional to join the team.

Responsibilities include handling high‑volume claims, aging reports, EDI rejections, appeals, and ensuring daily submission. Requires ICD-10/CPT/HCPCS knowledge, LCD/NCD guidance, and strong Excel/Word skills. Contract role with potential to become permanent.

Qualifications

• Extensive knowledge of the medical revenue cycle and its impact on financial performance.
• Strong understanding of medical coding, billing, and reimbursement processes.
• Experience with EDI clearinghouses and insurance portals.
• Proficient in Microsoft Excel and Word.
• Strong analytical and problem-solving skills with attention to detail.

Responsibilities

• Work in a fast-paced environment, process large aging reports, and follow up on high- volume insurance claims.
• Analyze and resolve EDI claim rejections and batch denials.
• Interpret EOBs and payment details, file initial and secondary appeals as needed.
• Monitor claim denials trends and communicate findings to management with resolutions.
• Ensure daily submission of insurance claims and resubmission of corrected claims.
• Apply ICD-10, CPT, and HCPCS coding, including ICD-10 to CPT mapping.
• Reference LCD and NCD directives to ensure coverage compliance.
• Maintain documentation and professional communication with providers regarding claim status.
• Collaborate with team and work independently to resolve issues.
• Research claims, identify issues, determine next steps, and drive to resolution.
• Understand benefits, network status, authorization requirements, exclusions, and payer policies.

Skills

Medical revenue cycle

Medical coding

EDI clearinghouses

Excel

Word

Analytical skills

Attention to detail

Communication skills

Fast-paced environment

Tools

Microsoft Excel

Microsoft Word

Job description

NCG Medical is a profitable and growing Revenue Cycle Management firm based outside of Orlando, FL. Our company has over 40 years of a successful track record of developing solutions for private practice physicians. We are continuing to grow and are excited to welcome several new client accounts and are adding to our team.

Responsibilities:

• Ability to work in a fast paced environment, work daily aging reports and follow up on high-volume insurance claims.
• Analyze and resolve EDI claim rejections and batch denials.
• Interpret and act on Explanation of Benefits (EOBs) and insurance payment details.
• Ability to file initial and secondary appeals, including second-level appeals.
• Monitor and identify trends in claim rejections and denials; clearly communicate findings to management and suggest resolutions.
• Ensure daily submission of insurance claims and resubmission of corrected claims.
• Utilize knowledge of ICD-10, CPT, and HCPCS coding, including ICD-10 to CPT code mapping.
• Reference and apply LCD (Local Coverage Determinations) and NCD (National Coverage Determinations) appropriately to ensure coverage compliance.
• Maintain documentation and professional communication with providers regarding claim status and insurance requirements.
• Collaborate with team members while also operating independently with minimal supervision.
• Independently research claims, identify issues, determine next steps, and follow through to resolution
• Understand and identify benefits, network status, authorization requirements, exclusions, and payer policies

Requirements:

• Extensive knowledge of the medical revenue cycle and its impact on financial performance.
• Strong understanding of medical coding, billing, and reimbursement processes.
• Demonstrated experience working with EDI clearinghouses and insurance portals.
• Must be proficient in Microsoft Excel and Word.
• Strong analytical and problem-solving skills, with the ability to think creatively to resolve claim issues
• Excellent attention to detail, strong organizational skills and proven reliability. .
• Excellent communications skills both written and verbal.
• Must demonstrate the ability to thrive in a fast paced, high volume environment while maintaining accuracy and professionalism.
• Team-oriented with a strong work ethic and dependable performance.
• Must demonstrate reliability and dependability in all aspects of the position.

This position is a contract role with the opportunity to become permanent.

Monday - Friday with hours of 8:30am - 5:30pm