Accounts Receivable Representative - Neurology

Integrated Medical Services (IMS); Phoenix (AZ); On-site; USD 42,000 - 60,000; Full time

Benefits offered by this job

Medical, Dental, and Vision benefits

401k match available

Paid Time Off

Job summary

IMS Care Center, headquartered in Phoenix, seeks an Accounts Receivable Representative in our Neurology department to manage patient accounts receivable and post payments promptly according to established policies.

Responsibilities include processing medical insurance and patient payments, reviewing EOBs, resolving disputes, and assisting with billing follow-up; strong attention to detail and teamwork are essential in our fast-paced, patient-focused environment.

Qualifications

• 1–2 years minimum experience in medical billing and A/R
• Knowledge of AC, office administration and procedures
• Strong oral communication skills
• Ability to work with minimal supervision
• Ability to perform multiple duties in a fast-paced, high-volume environment
• Proficiency with Microsoft Office suite (Excel, PowerPoint, Word, Outlook)
• Maintains confidentiality of information
• Strong follow-through

Responsibilities

• Assist in daily Medical Office activities including basic coding, data entry, patient registration and claim review.
• Process medical claim insurance payments, patient payments, and apply insurance adjustments.
• Manage adjustment codes, contractual adjustments, non-contractual adjustment codes, and bad debt codes.
• Identify and address low reimbursements and determine when an appeal is needed.
• Research and process insurance denials from EOBs and A/R reports, including appeals.
• Assist with billing secondary claims and EOB follow-up.
• Review and correct claims suspended by the billing system.
• Update insurance information and redirect charges when needed.
• Identify, research and prepare refunds to patients and insurances.
• Support follow-up on outstanding claims and billing issues.
• Stay current on billing and coding updates.
• Ensure accurate reimbursement for services rendered.
• Balance daily batches and reports.
• Address discrepancies and handle billing questions from carriers and patients.

Skills

Accounts Receivable

Billing

Denials management

Microsoft Office

Communication skills

Multitasking

Education

High School Diploma or equivalent

Bachelor’s degree

Tools

Billing software

Microsoft Excel

Job description

Headquartered in Phoenix, IMS Care Center is a team of 500 employees and a physician-led organization united through its providers’ commitment to high-quality innovative health care. Each day is a new day for ground-breaking ideas and unparalleled opportunity. Ours is a culture focused on what we can accomplish today, and where it can lead us tomorrow.

IMS Care Center is currently searching for a professional, compassionate and knowledgeable individual to fill the position of Accounts Receivable Representative in our Neurology department. The Accounts Receivable Representative is responsible for the management of patient accounts receivable and posting payments in a timely manner by following the Department’s established policies and procedures.

Responsibilities

• Assists in the daily activities of the Medical Office including basic coding, data entry, patient registration and claim review in an effort to resolve all patient inquiries and/or disputes
• Responsible for the processing of medical claim insurance payments, patient payments, and applying insurance adjustments through data-entry
• Responsible for managing the use of adjustment codes, contractual adjustment codes, non-contractual adjustments codes, and bad debt codes
• Responsible for managing low reimbursements and determining when a reimbursement requires appeal
• Research and processes insurance denials received from Explanation of Benefits (EOBs) and Account Receivable (A/R) reports by reviewing documentation and insurance/contract/coding guidelines (This process includes written appeals when appropriate; additionally, enters internal and external review decisions including charge adjustments, corrections, proper payment and resubmission of claims in the claims system)
• Responsible for assisting with billing secondary claims and EOBs that need follow up
• Responsible for reviewing and correcting claims that are suspended by the billing system
• Assists in identifying accurate insurance
• Updates/modifies insurance information with redirection of charges when appropriate
• Identifies, researches, and prepares refunds to patients and insurances
• Supports and assists in the follow up and identification of billing issues for outstanding claims
• Remains current on billing and coding procedures and changes
• Ensures accurate reimbursement is being received for services rendered
• Balances daily batches and reports
• Research and corrects discrepancies
• Processes billing questions from insurance carriers and patients via telephone and face-to-face inquiry
• Perform other duties as assigned

Requirements

• 1 to 2 years minimum experience in A/R required, specifically medical office/physician billing and insurance claim -follow-up and denial management
• In depth knowledge of AC, office administration and procedures, general bookkeeping, and accounting procedures
• Strong oral communication skills
• Ability to work with minimal oversight and supervision
• Ability to perform multiple duties in a fast pace and high-volume environment
• Demonstrated ability to interact effectively with peers and subordinates of all levels
• Proficiency with Microsoft Office suite (Excel, PowerPoint, Word, Outlook)
• Recognizes possible solutions to problems and is able to explain issues and propose solutions
• Maintains customer confidence and protects operations by keeping confidential information
• Contributes to team effort by accomplishing related results as needed
• Strong customer service
• Able to work alone and with a team
• Strong follow-through

Education

• High School Diploma or equivalent required
• Bachelor’s degree, strongly preferred

Compensation

• Medical, Dental, and Vision benefits
• 401k match available
• Paid Time Off

Joining IMS is more than saying "yes" to making the world a healthier place. It's discovering a career that’s challenging, supportive and inspiring. Where a culture driven by excellence helps you not only meet your goals but also create new ones. We focus on creating a diverse and inclusive culture, encouraging individual expression in the workplace and thrive on the innovative ideas this generates. Our hope is that each day you'll uncover a new reason to love what you do. If this sounds like the workplace for you,

You can look forward to a generous compensation package including medical, dental, vision, short-term and long-term disability, life insurance, paid time off and a very lucrative 401K plan.

• IMS is a tobacco-free work environment

IMS is an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, sex, disability status, sexual orientation, gender identity, age, protected veteran status or any other characteristic protected by law. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.