Accounts Receivable Representative - RCM Medical Billing

Nimble; United States; À distance; USD 36 000 - 60 000; Plein temps

Résumé du poste

Nimble is seeking an Accounts Receivable Representative to manage denied claims and appeals in a fully remote environment. You’ll work with leading EMR systems, coordinate with clients, and help drive higher collections while maintaining strong client relationships.

The role emphasizes accuracy, urgency, and teamwork in a fast-growing company, with daily communication by phone and email and opportunities to impact KPI results across multiple states.

Qualifications

• 1+ year of experience in medical billing or accounts receivable.
• Experience with EMR systems (Epic, NextGen, HST, Athena, Cerner, Availity) preferred.
• High school diploma or equivalent.
• Strong customer service and professional communication on the phone.
• Team-oriented with sense of urgency and attention to detail.

Responsabilités

• Call insurance companies to overturn denied or underpaid claims.
• Write appeals to overturn denials and improve payments.
• Work across multiple practice management systems and workflow tools.
• Respond to client inquiries regarding unpaid insurance claims.
• Check payer portals for claim statuses.
• Attend team and client meetings.
• Prioritize work queue for maximum efficiency.
• Document contracts with insurance carriers and estimated payment dates.
• Review claims for completeness and accuracy.
• Maintain daily activity records and use reports to manage AR.
• Meet facility goals and KPIs.

Connaissances

Customer service mindset

Team player

Organized

Attention to detail

Professional phone communication

Ability to work with urgency

Formation

High school diploma or equivalent

Outils

Epic

NextGen

HST

Athena

Cerner

Availity

Description du poste

All Jobs > Accounts Receivable Representative - RCM Medical Billing

Accounts Receivable Representative - RCM Medical Billing
Fully Remote Remote Worker - N/A Accounts Receivable

Full-time

Description

Why you’ll want to work at nimble!

This is a great opportunity to join a well-established and market-leading brand serving a high-growth end market while gaining valuable experience and visibility to Executive leadership. As an organization, we are in considerable growth mode through acquisitions and with a laser focus on positive culture-building.

As an Accounts Receivable Representative, you will primarily be on the phone with insurance companies, overturning denied claims. You will also write appeals to insurance companies to overturn denied/underpaid claims, as well as being exposed to a list of national payers working in multiple states, multiple systems, and collaborating with team members.

On a typical day, you will be:

• Working in multiple practice management systems and other workflow technologies
• Receiving client inquiries and addressing them in a timely manner as they relate to unpaid insurance claims
• Checking payer portals for insurance claim statuses
• Participating in team meetings and client meetings
• Working with leadership to increase client collections i.e., getting additional insurance claims paid
• Learning how to prioritize a work queue for maximum efficiency
• Having fun, building relationships, and contributing towards maintaining positive team morale
• Call insurance carriers to obtain timely processing of patient claims
• Calling payers to understand why insurance claims were denied or paid incorrectly
• Document contract with insurance carriers and estimated payment date
• Provide information to expedite claim processing
• Review and understand system notes
• Writing and submitting appeals
• Successfully meeting facility goals and KPI’s
• Attach appropriate documentation (i.e., Op Note, Invoice, etc.)
• Review claims to ensure fields are complete and accurate
• Maintain daily record of activities
• Use system reports to manage accounts receivable (AR)
• Prioritize accounts based on high dollar and days in AR
• Document write-offs and submit refund requests
• Maintain batch logs in a file by date
• File activity into monthly charts by facility

Requirements

Who you are:

• 1+ years of experience in medical billing or accounts receivable
• Experience using Epic, NextGen, HST, Athena, Cerner, Availity or other large EMR software is highly preferred
• High school diploma or equivalent
• Possess an exceptional customer service mindset with a focus on high-quality delivery
• Consummate team player
• Work with a sense of urgency
• Task oriented
• Organized and attention to detail
• Ability to communicate in a professional atmosphere and be comfortable on the phone for the majority of the day